Individual
ANGELA RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5145 SELLERS RD, SHALLOTTE, NC 28470-3405
(910) 754-4441
(910) 754-5307
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 754-4441
(910) 754-5307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200001310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89128FK
—
NC
05
—
N0131A
—
SC
Enumeration date
09/14/2005
Last updated
06/28/2022
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