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Individual

JUDITH L.M. THIGPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
736 HIGHWAY 78 WEST, MINUTE CLINIC, VILLA RICA, GA 30180
(770) 459-8234
Mailing address
736 HIGHWAY 78 WEST, MINUTE CLINIC, VILLA RICA, GA 30180
(770) 459-8234

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN201767
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
363LF0000X
TAXONOMY CODE
GA
Enumeration date
07/03/2013
Last updated
06/16/2014
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