Individual
TERESA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.M.
Contact information
Practice address
1025 CONCORD PKWY N, CONCORD, NC 28027-5923
(704) 782-0908
(704) 786-0469
Mailing address
54 SAINT MARY AVE NW, CONCORD, NC 28025-4528
(704) 262-3826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701423
—
NC
05
—
7795022
—
NC
Enumeration date
04/10/2007
Last updated
07/09/2007
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