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Individual

MRS. GENVER THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
300 HOSPITAL ROAD, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, FORT GORDON, GA 30905-5650
(706) 787-2634
(706) 787-5127
Mailing address
3201 BLOCKERS BRANCH, HEPHZIBAH, GA 30815
(706) 592-4256

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30006957
WA
363LF0000X
Family Nurse Practitioner
Primary
NP156631
GA

Other

Enumeration date
10/17/2006
Last updated
10/14/2013
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