Individual
LESLIE WALKER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2325 ROSWELL RD, MARIETTA, GA 30062-4782
(770) 843-0929
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 727-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10573
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2019
Last updated
01/25/2022
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