Individual
DESTINY K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMMA, CPT
Contact information
Practice address
3406 KENSINGTON DR S, AUGUSTA, GA 30906-6001
(678) 979-7255
Mailing address
3108 PEACH ORCHARD RD STE 89303, AUGUSTA, GA 30916-3500
(706) 478-9115
(706) 478-9205
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
397-11154
GA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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