Individual
MR. CEDRICK RICORDO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., BSN
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
101 HOLLIS BRIDGE CT, LEESBURG, GA 31763-4159
(229) 759-1933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN126753
GA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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