Individual
MARITA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1670 MCKENDREE CHURCH RD STE 400B, LAWRENCEVILLE, GA 30043-4100
(706) 414-2622
Mailing address
4056 SHORESIDE CIR, SNELLVILLE, GA 30039-6829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
14172
FL
111N00000X
Chiropractor
Primary
CHIRO10792
GA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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