Individual
MRS. RANDY S. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
610 SPARTA RD, POST OFFICE BOX 636, SANDERSVILLE, GA 31082-1860
(478) 240-2176
Mailing address
PO BOX 404, 680 HIGHWAY 68 NORTH, TENNILLE, GA 31089-0404
(478) 552-7679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000144
GA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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