Individual
MRS. CAROLYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-9411
Mailing address
8904 TWELVE OAKS DR, SHREVEPORT, LA 71118-2310
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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