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Contact Information

DAVID S THOMPSON, CPO
3501 ALTAMA AVE
BRUNSWICK, GA31520-3629
 Phone: 912-261-8117
 Fax: 912-261-8301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for DAVID S THOMPSON · (Male)

NPI Number 1518964220
Status Active
Credentials CPO
Entity Individual
Enumeration date 07/07/2005
Last updated 11/07/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 01521
  • GA Medicaid 00742871A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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