Samuel Michael Thompson
Student in an Organized Health Care Education/Training Program in Augusta, GA. Individual provider (NPI-1).
NPI number1982161501
StatusActive
Last updated in NPPESMar 1, 2019
Details
- NPI
- 1982161501
- Entity type
- Individual (NPI-1)
- Name
- Samuel Michael Thompson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2019
- Last updated
- Mar 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Dental College Of Georgia 1120 15th Street Gc 5110Augusta, GA 30912-0001
Phone 706-721-2251
Mailing address
4868 Bridgewood RdOwensboro, KY 42303-4654
Phone 270-925-8190
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All 351 Student in an Organized Health Care Education/Training Program providers in Augusta · All 8,576 providers in Augusta
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