Individual
DEMITRUS LASHAWN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
175 CANVAS IVES DR, LAWRENCEVILLE, GA 30045-6744
(864) 344-6227
Mailing address
175 CANVAS IVES DR, LAWRENCEVILLE, GA 30045-6744
(864) 344-6227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250137
SC
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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