Individual
DR. KEVIN ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MARBLE MILL ROAD, MARIETTA, GA 30060-1130
(770) 422-1013
(770) 514-5996
Mailing address
111 MARBLE MILL ROAD, MARIETTA, GA 30060-1130
(770) 422-1013
(770) 514-5996
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
0063033
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2007
Last updated
01/24/2013
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