Individual
ANGELA J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
150 BURNETTS WAY, SUITE 310, SUFFOLK, VA 23434-8177
(757) 539-0670
(757) 539-1062
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001581
VA
Other
Enumeration date
06/27/2005
Last updated
04/14/2008
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