Individual
JERRY TODD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2370 ROCKMART HWY STE 100, CEDARTOWN, GA 30125-6029
(706) 509-3000
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89489
GA
Other
Enumeration date
04/25/2018
Last updated
03/10/2023
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