Individual
BRIDGET NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
112 E BALLARD ST, ELLERBE, NC 28338-9730
(910) 652-2663
(910) 652-3150
Mailing address
112 E BALLARD ST, ELLERBE, NC 28338-9730
(910) 817-4060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02545
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346559911
—
NC
Enumeration date
09/30/2010
Last updated
02/14/2025
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