DAVID SHANNON THOMPSON

BRUNSWICK, GA
NPI1518964220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: GA  01521)
Additional Taxonomies222Z00000X 
(Licence: GA  01521)
Enumeration Date2005-07-07
Last Update Date2007-11-07
Business Address
Mr. DAVID SHANNON THOMPSON CPO
3501 ALTAMA AVE
BRUNSWICK, GA 31520-3629
Phone number: 912-261-8117
Mailing Address
Mr. DAVID SHANNON THOMPSON CPO
3501 ALTAMA AVE
BRUNSWICK, GA 31520-3629
Phone number: 912-261-8117