MRS. Candice Jean Thompson, ASSOCIATES DIPLOMA
NPI #1457760795 in Statesboro, Georgia
Provider Information
- NPI Number
- 1457760795
- Entity Type
- Individual
- Name
- MRS. Candice Jean Thompson, ASSOCIATES DIPLOMA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ASSOCIATES DIPLOMA
- Enumeration Date
- Aug 12, 2014
- Last Updated
- Aug 12, 2014
Practice Location
- Address
- 98 GEORGIA AVE BLDG 356
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-4960
- Phone
- (912) 478-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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