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Individual

KYLE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
777 GLOUCESTER ST STE 305, BRUNSWICK, GA 31520-0002
(912) 574-7053
Mailing address
156 LAKES DR, BRUNSWICK, GA 31523-7888
(907) 209-9875

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
174
AK
171100000X
Acupuncturist
Primary
530
GA

Other

Enumeration date
03/13/2015
Last updated
03/10/2023
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