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1760156277
GRANT COLE THOMPSON
KINGSPORT, TN
NPI
1760156277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-08-07
Last Update Date
2021-08-07
Business Address
GRANT COLE THOMPSON PA
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660-7475
Phone number: 423-230-5000
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Mailing Address
GRANT COLE THOMPSON PA
1256 DERICK PRIVATE DR
BLOUNTVILLE, TN 37617-5851
Phone number: 423-341-5398
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