Individual
EFFIE JEWELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2750 PARKWAY CV, LITHONIA, GA 30058-4644
(678) 763-2395
Mailing address
PO BOX 493, LOCUST GROVE, GA 30248-0493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN119507
GA
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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