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1114786175
CHARLES EVANS THOMPSON
LAGRANGE, GA
NPI
1114786175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN289843)
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
CHARLES EVANS THOMPSON FNP-C
105 BEAVER RUN
LAGRANGE, GA 30241-1519
Phone number: 706-443-4278
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Mailing Address
CHARLES EVANS THOMPSON FNP-C
105 BEAVER RUN
LAGRANGE, GA 30241-1519
Phone number:
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