Individual
CHRISTOPHER DAVID THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
655 JESSE JEWELL PKWY SE, STE B, GAINESVILLE, GA 30501-3756
(770) 532-7092
(770) 536-0383
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109585B
—
GA
05
—
003109585C
—
GA
01
—
6125
STATE LICENSE
GA
Enumeration date
04/15/2011
Last updated
02/14/2025
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