Individual
VIVIENNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
747 S 8TH ST STE C, GRIFFIN, GA 30224-4884
(770) 228-1767
(770) 228-7562
Mailing address
2333 SHADY MAPLE LN, LOGANVILLE, GA 30052-5889
(404) 839-2046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN180987
GA
Other
Enumeration date
11/23/2021
Last updated
01/14/2025
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