Individual
MR. STEPHEN LEWIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
622 PENNYLAKE LN, STONE MOUNTAIN, GA 30087-5768
(770) 761-9508
(770) 761-9509
Mailing address
PO BOX 839, STONE MOUNTAIN, GA 30086-0839
(770) 761-9508
(770) 761-9509
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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