Individual
MR. JACKSON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
296 CROSS CREEK RD, HENDERSON, NC 27537
(252) 915-7228
Mailing address
296 CROSS CREEK RD, HENDERSON, NC 27537-7921
(252) 915-7228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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