Individual
MRS. GEORGINA ANGELINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LLOYD AVE, TYRONE, GA 30290-2124
(770) 486-1200
Mailing address
75 CORN CRIB DR, NEWNAN, GA 30263-6073
(407) 234-9932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN192331
GA
Other
Enumeration date
07/30/2017
Last updated
07/30/2017
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