Individual
DR. AMY BROOKE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2694
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2694
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
77565
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
77565
GA
Other
Enumeration date
09/22/2011
Last updated
08/25/2020
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