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NPI 1457760795

IndividualActive

Candice Thompson, ASSOCIATES DIPLOMA

NPI 1457760795 · Optician · Statesboro, GA

Provider details

NPI number: 1457760795
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: ASSOCIATES DIPLOMA
Sex: Female
Sole proprietor: Yes
License: LDO002461 (GA)

Practice location

98 Georgia Ave Bldg 356

Statesboro, GA 30458-4960

Phone: (912) 478-3937

Fax: (912) 478-2537

More GA providers

Mailing address

98 Georgia Ave Bldg 356

Statesboro, GA 30458-4960

Registry dates

Enumerated: 2014-08-12
Last updated: 2014-08-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Candice Thompson, ASSOCIATES DIPLOMA — NPI 1457760795, Statesboro, GA | NPI Central