GENA L THOMPSON

CHATTANOOGA, TN
NPI1811212392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  2044)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  5745)
Enumeration Date2010-03-29
Last Update Date2015-07-14
Business Address
-- GENA L THOMPSON PA-C
979 E. THIRD STREET SUITE #C-825
CHATTANOOGA, TN 37403
Phone number: 423-778-4830
Mailing Address
-- GENA L THOMPSON PA-C
975 E. THIRD STREET ATTN: PROVIDER ENROLLMENT
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-5630