Individual
DR. SUSAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1478 DOGWOOD DR SE STE B&C, KAISER PERMANENTE CONYERS MEDICAL OFFICE, CONYERS, GA 30013-5088
(678) 413-4320
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(404) 752-1088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
067173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067173
LICENCE
GA
Enumeration date
06/24/2009
Last updated
01/10/2022
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