Individual
DR. JANELLA LYNNE THOMAS-BURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1720 PHOENIX BLVD, SUITE 700, COLLEGE PARK, GA 30349-5594
(404) 446-4792
(404) 446-4793
Mailing address
105 CLEARBROOK PL SW, ATLANTA, GA 30331-8066
(404) 349-8024
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
043493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
732174576A
—
GA
Enumeration date
05/31/2006
Last updated
07/08/2007
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