Individual
AVERY THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
308 COLISEUM DR STE 200, MACON, GA 31217-3861
(478) 742-2180
Mailing address
207 TRELLIS WALK, CENTERVILLE, GA 31028-8511
(478) 508-7458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14162
GA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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