Individual
CARLY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BROOKS LN STE 290, JEFFERSON HILLS, PA 15025-3765
(412) 729-1500
(412) 384-2462
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057119
PA
363AS0400X
Surgical Physician Assistant
MA057119
PA
Other
Enumeration date
11/21/2014
Last updated
08/08/2025
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