| Doctor Name: | SUSAN M THOMPSON |
| NPI Number: | 1386916906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1-088654 |
| Business Practice Address: | 162 S Dalton St Slocomb, AL - 363755669 |
| Business Phone Number: | 3348863023 |
| Business Fax Number: | 3348863028 |
| Mailing Address: | 1414 Elba Hwy, TROY |
| State: | AL |
| Postal Code: | 360796020 |
| Phone Number: | 3346706726 |
| Fax Number: | 3346706731 |
| NPI Enumeration Date: | 01/27/2012 |
| NPI Last Update Date: | 03/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-088654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |