Doctor Name: | DR. VERONITA C THOMPSON |
NPI Number: | 1912263625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 3640 Tramore Pointe Parkway, Sw Kaiser Permanente West Cobb Medical Center Austell, GA - 30106 |
Business Phone Number: | 7704394700 |
Business Fax Number: | 4047521088 |
Mailing Address: | 3495 Piedmont Road, Ne, Nine Piedmont Center ATLANTA |
State: | GA |
Postal Code: | 30305 |
Phone Number: | 4045045678 |
Fax Number: | 4047521088 |
NPI Enumeration Date: | 04/06/2012 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |