Individual
MARIE PUCKETT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
428 CANTON RD, CUMMING, GA 30040-2002
(770) 781-6918
(770) 781-6929
Mailing address
7015 CAMPGROUND RD, CUMMING, GA 30040-5635
(770) 887-3472
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN026306
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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