Individual provider · Type 1 NPI
Charles Evans Thompson Jr., FNP-C
Family Nurse Practitioner · Lagrange, GA
NPI number
1114786175
Active
Practice location
105 Beaver Run
Lagrange, GA 30241-1519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN289843 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114786175
Charles Evans Thompson Jr., FNP-C's National Provider Identifier is 1114786175, issued on Mar 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lagrange, GA. The record was last updated on Mar 13, 2024.