Individual
PHYLLIS GAIL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
263 HARPER RD, CAIRO, GA 39827-5102
(229) 200-3790
Mailing address
PO BOX 172, CAIRO, GA 39828-0172
(229) 200-3790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN230992
GA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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