Individual
MICHAEL LEROY THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
6101 TRESTLEWOOD DR APT B, COLUMBUS, GA 31909-2968
(706) 596-5500
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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