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1073794533
KELLY R THOMPSON
CARROLLTON, GA
NPI
1073794533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN134604)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
-- KELLY R THOMPSON N.P.
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-836-9666
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Mailing Address
-- KELLY R THOMPSON N.P.
119 AMBULANCE DR STE 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8824
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