Individual
MERCEDES L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, IBCLC
Contact information
Practice address
12774 WISTERIA DR # 2841, GERMANTOWN, MD 20874-9998
(404) 635-6175
Mailing address
2727 SKYVIEW DR UNIT 926, LITHIA SPRINGS, GA 30122-5010
(404) 635-6175
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
R224496
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R224496
MD
363LP0200X
Pediatric Nurse Practitioner
RN198323
GA
Other
Enumeration date
05/14/2014
Last updated
12/28/2020
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