NPI 1063759249

Demon Randolph Thompson, CPED

Practitioner Other Technician Savannah, GA

Practice location

Address: 803 E 68th St, Savannah, GA 31405-4709
Phone: (912) 355-4557
Fax: (912) 355-3186

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence CPED3471 (GA)

Other Technician, Other providers in Georgia →

Registry record

NPI: 1063759249
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2013
Record last updated: 13 Jun 2014

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.