Individual
SUSAN M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
162 S DALTON ST, SLOCOMB, AL 36375-5669
(334) 886-3023
(334) 886-3028
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-088654
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135862
—
AL
Enumeration date
01/27/2012
Last updated
03/05/2013
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