Individual
ELIZABETH DELORES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 MARGIE DR, WARNER ROBINS, GA 31088-7818
(478) 971-1153
(478) 971-1171
Mailing address
840 PINE ST STE 880, MACON, GA 31201-7525
(478) 743-7092
(478) 743-6293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008556
GA
Other
Enumeration date
08/31/2017
Last updated
01/13/2022
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