Thompson, Alexa D

Thompson, Alexa D is an individual health care provider with primary practice located at 3780 Holcomb Bridge Rd Ste C, Peachtree Corners GA 30092-2701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thompson, Alexa D can be contacted via phone (770) 263-9101.

Contact Information

Primary practice address
3780 Holcomb Bridge Rd Ste C Peachtree Corners GA 30092-2701
Phone: (770) 263-9101
Fax: (770) 263-9102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN147104 NP Georgia

Profile Details

NPI number 1154539054
LBN Legal business name Thompson, Alexa D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated May 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154539054 NPPES
Georgia MEDICAID 403499233D

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