Individual
DEVON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PA-C
Contact information
Practice address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
Mailing address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12542
GA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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