Search › Georgia › 363A00000X
Bre'Andria Thompson, PA-C
NPI 1972112100 · on the registry since 2020
Practice
- Address
- 1128 S Park St
Carrollton, GA 30117 - Phone
- (770) 836-0870
- Fax
- (770) 836-7506
- Organisation at this address
- Walgreen Co
Premise Health Of Georgia Medical PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- OH, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia