Individual
CAROL LEIGH ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2449 SUMMERWOOD, GULFPORT, MS 39507-2216
(601) 508-7789
Mailing address
2449 SUMMERWOOD, GULFPORT, MS 39507-2216
(601) 508-7789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
THOM-9BJFWB
MS
Other
Enumeration date
12/16/2018
Last updated
12/17/2018
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