Individual
SHIANDRA RUMPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6025 PROFESSIONAL PKWY, DOUGLASVILLE, GA 30134-5609
(770) 949-0555
Mailing address
6025 PROFESSIONAL PKWY, DOUGLASVILLE, GA 30134-5609
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN235897
GA
Other
Enumeration date
03/06/2020
Last updated
04/10/2020
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