Individual
DR. KENTREZ GERROD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
485 HIGHWAY 29 N, ATHENS, GA 30601-5583
(706) 438-4080
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100753
GA
208600000X
Surgery Physician
84676
SC
Other
Enumeration date
06/30/2020
Last updated
08/12/2024
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