Demon Randolph Thompson, CPED
Demon Randolph Thompson, CPED is an Other Technician in Savannah, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
Practice location Address checks out
803 E 68th StSavannah, GA 31405-4709
Phone: (912) 355-4557
Fax: (912) 355-3186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence CPED3471 (GA) |
|---|
Record details
| NPI number | 1063759249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPED |
| Sole proprietor | No |
| NPI enumerated | January 9, 2013 |
| Last updated in NPPES | June 13, 2014 |
| Mailing address | 803 E 68th St, Savannah, GA 31405-4709 |
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