Thompson, Mary Michelle

Thompson, Mary Michelle is an sole proprietor health care provider with primary practice located at 4116 Arkwright Rd Suite 2, Macon GA 31210-1707. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Thompson, Mary Michelle can be contacted via phone (478) 477-0601.

Contact Information

Primary practice address
4116 Arkwright Rd Suite 2 Macon GA 31210-1707
Phone: (478) 477-0601
Fax: (973) 965-4580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006626 Georgia

Profile Details

NPI number 1629120969
LBN Legal business name Thompson, Mary Michelle
Credentials SPEECH THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jun 4th, 2009 - about 17 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 1629120969 NPPES
Georgia MEDICAID 487932448C
Georgia MEDICAID 487932448A
Georgia MEDICAID 487932448B

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