Individual
MARTHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MAIN ST APT C7, LEESBURG, GA 31763-3789
(229) 302-4207
Mailing address
320 MAIN ST APT C7, LEESBURG, GA 31763-3789
(229) 302-4207
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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