Individual
KIMBERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W 4TH ST, ADEL, GA 31620-2657
(229) 896-7503
Mailing address
336 PRESTON DR, FITZGERALD, GA 31750-8259
(229) 425-8461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16252
GA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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