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Individual

RONISHIA D THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
677 CHURCH ST NE, MARIETTA, GA 30060
(770) 793-5913
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5913

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29044
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
83693
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000013322
AL
Enumeration date
04/11/2007
Last updated
08/07/2019
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