Individual
MRS. KATHARINA MARIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
2208 MARTIN RD, AUGUSTA, GA 30906-2826
(706) 796-8850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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