Individual provider · Type 1 NPI
Tristen Quiera Thompson, BS, MS
Rehabilitation Clinic/Center · Conyers, GA
NPI number
1487336814
Active
Practice location
2395 Wall St SE Ste 280
Conyers, GA 30013-6703
Mailing address
6302 Prose Cir
Covington, GA 30016-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1487336814
Tristen Quiera Thompson, BS, MS's National Provider Identifier is 1487336814, issued on Aug 4, 2023. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Conyers, GA. The record was last updated on Aug 4, 2023.