NPI 1033613724

Keith B Thompson

Practitioner Driver Sandersville, GA

Practice location

Address: 417 W Haynes St, Sandersville, GA 31082
Phone: (478) 232-0290

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1033613724
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2018
Record last updated: 19 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.