Individual
CEPHAS V THOMASON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 327-6262
(706) 327-1250
Mailing address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 327-6262
(706) 327-1250
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
GA6924
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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