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1528373503
TERRY M THOMPSON
AUSTELL, GA
NPI
1528373503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: GA 49)
Enumeration Date
2010-08-13
Last Update Date
2010-08-13
Business Address
TERRY M THOMPSON C.O.
3672 MARATHON CIR SUITE 140
AUSTELL, GA 30106-6821
Phone number: 678-738-7380
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Mailing Address
TERRY M THOMPSON C.O.
PO BOX 24905
WINSTON SALEM, NC 27114-4905
Phone number: 336-397-2165
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