Individual
SUSHMITA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1525 CLIFTON RD NE, ATLANTA, GA 30322-4200
(404) 778-4451
Mailing address
409 LYTTON CT, STOCKBRIDGE, GA 30281-7959
(205) 567-2564
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN208915
GA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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