MEDICARE: MR. DAVID SHANNON THOMPSON CPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Z00000X	Orthotist	01521	GA
2	224P00000X	Prosthetist	01521	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518964220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID SHANNON THOMPSON CPO

Provider Business Mailing Address
First Line	:	3501 ALTAMA AVE
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-3629
Country	:	US
Telephone Number	:	912-261-8117
Fax Number	:	912-261-8301

Provider Business Practice Location Address
First Line	:	3501 ALTAMA AVE
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-3629
Country	:	US
Telephone Number	:	912-261-8117
Fax Number	:	912-261-8301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/07/2007

Similar Medicare Providers

1669403291 — BRUNSWICK ORTHOTICS & PROSTHETICS, INC.
Practice Location Address:

3501 ALTAMA AVE
BRUNSWICK, GA
31520-3629

Practice Phone: 912-261-8117
Practice Fax: 912-261-8301

1104777135 — ZHEN WELLNESS ADVANCED NUTRITION CONSULTING AND CHIROPRACTIC
Practice Location Address:

1510 NEWCASTLE ST STE 200
BRUNSWICK, GA
31520-6825

Practice Phone: 912-222-0769
Practice Fax:

1518818392 — LATASHA DENISE ROZIER
Practice Location Address:

2106 4TH ST
BRUNSWICK, GA
31520-3428

Practice Phone: 912-270-7818
Practice Fax:

1184628703 — DR. ERIC T. LINERT AU.D.
Practice Location Address:

3025 SHRINE RD STE 490
BRUNSWICK, GA
31520-4784

Practice Phone: 912-267-1569
Practice Fax: 912-261-8285

1164429692 — GLYNN COUNTY BOARD OF HEALTH
Practice Location Address:

2747 4TH ST
BRUNSWICK, GA
31520-3714

Practice Phone: 912-264-3236
Practice Fax: 912-262-3051

1841297017 — BRIAN C BOYD PT
Practice Location Address:

3231 GLYNN AVE
BRUNSWICK, GA
31520-4851

Practice Phone: 912-265-9006
Practice Fax: 912-265-7200

Directions to “ MR. DAVID SHANNON THOMPSON CPO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.