Individual
ZACKERY KANEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2782 GREEN MARSH COURT, DECATUR, GA 30034
(404) 468-2677
Mailing address
2782 GREEN MARSH COURT, DECATUR, GA 30034
(404) 468-2677
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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