Individual
WAYNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
1415 HIGHWAY 85 N STE 310-147, FAYETTEVILLE, GA 30214-7738
(937) 570-2426
Mailing address
1415 HIGHWAY 85 N STE 310-147, FAYETTEVILLE, GA 30214-7738
(937) 570-2426
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
144786
IN
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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