| NPI | 1215318605 |
|---|---|
| Other Name | MARY THOMPSON SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | MARY L THOMPSON Owner 706-922-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |