Individual
BRENT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7300 GA HIGHWAY 21, PORT WENTWORTH, GA 31407-9205
(912) 964-1797
Mailing address
7300 GA HIGHWAY 21, PORT WENTWORTH, GA 31407-9205
(912) 964-1797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033836
GA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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