Individual
DOROTHY BRE'ANNA D THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
841 MULBERRY ST, MACON, GA 31201-6756
(478) 741-6554
Mailing address
841 MULBERRY ST, MACON, GA 31201-6756
(478) 741-6554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203268
GA
Other
Enumeration date
10/20/2015
Last updated
03/10/2016
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