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1447603949
WILLIAM THAD POISSON
AUGUSTA, GA
NPI
1447603949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN260182)
Enumeration Date
2016-07-20
Last Update Date
2017-01-05
Business Address
Mr. WILLIAM THAD POISSON
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 630-750-0771
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Mailing Address
Mr. WILLIAM THAD POISSON
1120 15TH ST BA-9431
AUGUSTA, GA 30912-0004
Phone number: 706-721-2861
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