NPI 1528373503

Terry M Thompson, CO

Practitioner Orthotist Austell, GA

Practice location

Address: 3672 Marathon Cir Suite 140, Austell, GA 30106-6821
Phone: (678) 738-7380
Fax: (678) 738-7382
Mailing address: PO Box 24905, Winston Salem, NC 27114-4905

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 49 (GA)

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Registry record

NPI: 1528373503
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2010
Record last updated: 13 Aug 2010

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.