Individual
ALEXANDRA SIMONE MCCRACKEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19664 VALDOSTA HWY STE A, VALDOSTA, GA 31602-8300
(912) 223-6326
(229) 263-5950
Mailing address
302 E SCREVEN ST, QUITMAN, GA 31643-2178
(229) 263-4061
(229) 263-5950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030997
GA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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