Individual
ASIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6595 WANSFELL CT, DOUGLASVILLE, GA 30135-6110
(678) 791-5063
Mailing address
6595 WANSFELL CT, DOUGLASVILLE, GA 30135-6110
(678) 791-5063
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214664
GA
Other
Enumeration date
08/27/2025
Last updated
09/05/2025
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