Individual
MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1504 MANNING FOREST DR APT B5, GREENVILLE, NC 27834-6248
(252) 327-0612
Mailing address
1504 MANNING FOREST DR APT B5, GREENVILLE, NC 27834-6248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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