NPI 1093092132

Ezell Thompson

Practitioner Private Vehicle Greensboro, NC

Practice location

Address: 2711 Four Seasons Blvd Unit F, Greensboro, NC 27407-6078
Phone: (434) 429-3077

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 263585 (NC)

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Registry record

NPI: 1093092132
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2011
Record last updated: 3 Nov 2011

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.