Individual
MARITESS GONZALES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3800 PRINCETON LAKES PKWY SW, ATLANTA, GA 30331-5580
(404) 948-3019
Mailing address
1058 BEAR CREEK BLVD, HAMPTON, GA 30228-1849
(770) 707-0808
(770) 707-1580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN161969
GA
363LF0000X
Family Nurse Practitioner
RN161969
GA
Other
Enumeration date
08/15/2016
Last updated
12/08/2022
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