Individual provider · Type 1 NPI

Samuel Michael Thompson

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1982161501 Active

Practice location

Dental College Of Georgia 1120 15th Street Gc 5110
Augusta, GA 30912-0001

Call (706) 721-2251 Map

Mailing address

4868 Bridgewood Rd
Owensboro, KY 42303-4654

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982161501

Samuel Michael Thompson's National Provider Identifier is 1982161501, issued on Mar 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Mar 1, 2019.