Individual
NICHOLAS JACOB THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 727-5157
Mailing address
2205 LILAC LN, DECATUR, GA 30032-5241
(708) 466-9988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
93469
GA
Other
Enumeration date
04/06/2020
Last updated
03/25/2024
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