Provider Demographics
NPI:1033623467
Name:THOMPSON, GEORGIA KAY (CSFA)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:KAY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5885 ALLISON ST UNIT 1029
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80001-2645
Mailing Address - Country:US
Mailing Address - Phone:303-940-1613
Mailing Address - Fax:303-432-2595
Practice Address - Street 1:7575 S EVERETT ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128
Practice Address - Country:US
Practice Address - Phone:720-231-9532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty