Individual
JENA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GEORGIA AVE SE, ATLANTA, GA 30312-3046
(404) 653-0374
Mailing address
415 ARMOUR DR NE APT 11201, ATLANTA, GA 30324-3964
(770) 826-2383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
287702
GA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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