Individual
KAYLA ROSE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1520 KNOX AVE, NORTH AUGUSTA, SC 29841-4010
(803) 279-4120
(803) 279-5418
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(803) 279-4120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003141A
IN
363A00000X
Physician Assistant
Primary
3812
SC
Other
Enumeration date
03/02/2021
Last updated
11/03/2024
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