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NPI Code Detail

MEDICARE: DR. JODIE ROSELINE THOMPSON D.C.

MEDICARE: DR. JODIE ROSELINE THOMPSON D.C.
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
1111N00000XChiropractor3303NC

General Provider Information

NPI Number : 1134182249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODIE ROSELINE THOMPSON D.C.
Provider Business Mailing Address
First Line : 110 PARK AVE
Second Line :
City : SANFORD
State : NC
Zip : 27330-4027
Country : US
Telephone Number : 919-776-1020
Fax Number : 919-775-1930
Provider Business Practice Location Address
First Line : 110 PARK AVE
Second Line :
City : SANFORD
State : NC
Zip : 27330-4027
Country : US
Telephone Number : 919-776-1020
Fax Number : 919-775-1930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 03/28/2017

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