Individual
LORENZO JAMAL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 SELLERS RD, DAWSON, GA 39842-3933
(229) 894-8997
Mailing address
1605 SELLERS RD, DAWSON, GA 39842-3933
(229) 894-8997
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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