Individual
MRS. PRISCILLA MARY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
3543 HIGHWAY 81 # 201, LOGANVILLE, GA 30052-4336
(678) 737-4147
Mailing address
1730 KINGSLEY CT, LAWRENCEVILLE, GA 30043-7124
(201) 290-7858
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN262445
GA
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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