Provider Demographics
NPI:1447602750
Name:THOMPSON, PATRICIA CHRISTINA (MACC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CHRISTINA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5283 BELLS FERRY RD
Mailing Address - Street 2:STE120
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-2500
Mailing Address - Country:US
Mailing Address - Phone:770-240-0932
Mailing Address - Fax:404-393-6439
Practice Address - Street 1:3450 JONES MILL RD
Practice Address - Street 2:APT 315
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4370
Practice Address - Country:US
Practice Address - Phone:678-923-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health