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Charles Evans Thompson JR., FNP-C
Family Nurse Practitioner in Lagrange, Georgia
NPI 1114786175

Charles Evans Thompson JR. is a Family Nurse Practitioner based in Lagrange, GA and is specialized in Family. Charles Evans Thompson JR. practices in Lagrange, GA and has the professional credentials of FNP-C. The NPI Number for Charles Evans Thompson JR. is 1114786175 and holds a License No. RN289843 (Georgia).

The current practice location address for Charles Evans Thompson JR. is 105 Beaver Run, Lagrange, GA and can be reached out via phone at 706-443-4278.

Location: 105 Beaver Run, Lagrange, GA, 30241-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114786175
Provider Name
Charles Evans Thompson JR.
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
105 Beaver Run, Lagrange, GA, 30241-1519
Phone Number
706-443-4278
Fax Number
Provider Enumeration Date
03/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
105 Beaver Run
City
Lagrange
State
Georgia
Zip
30241-1519
Phone Number
706-443-4278
Fax Number
person
Provider Business Mailing Address Details
Address
105 Beaver Run
City
Lagrange
State
Georgia
Zip
30241-1519
Phone Number
706-443-4278
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN289843 (Georgia)
Definition
Definition to come...
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