Individual
JOYCE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
640 E STATE ST, GEORGETOWN, OH 45121-1422
(937) 378-4816
Mailing address
640 E STATE ST, GEORGETOWN, OH 45121-1422
(937) 378-4816
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0761573
—
OH
01
—
480015264
RAILROAD MEDICARE
OH
Enumeration date
05/27/2005
Last updated
11/13/2008
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