Individual
GREGORY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4900
Mailing address
PO BOX 409036, ATLANTA, GA 30384-9036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100978
FL
Other
Enumeration date
03/09/2006
Last updated
09/12/2007
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