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

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone 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.