Individual
ANGEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARDMS, RVT
Contact information
Practice address
21 LAKE SHORE BLVD, PORT WENTWORTH, GA 31407-3612
(912) 704-1053
Mailing address
21 LAKE SHORE BLVD, PORT WENTWORTH, GA 31407-3612
(912) 704-1053
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
134297
GA
Other
Enumeration date
04/14/2020
Last updated
04/26/2020
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