Individual
MRS. CANDICE JEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATES DIPLOMA
Contact information
Practice address
98 GEORGIA AVE BLDG 356, STATESBORO, GA 30458-4960
(912) 478-3937
(912) 478-2537
Mailing address
98 GEORGIA AVE BLDG 356, STATESBORO, GA 30458-4960
(912) 478-3937
(912) 478-2537
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002461
GA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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