Individual
DR. KELLY DENISE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-17685
HI
208D00000X
General Practice Physician
MD-17685
HI
Other
Enumeration date
06/05/2012
Last updated
03/19/2020
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