Individual
ELIZABETH CANDLER GREGORY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 HIGHWAY 155, LOCUST GROVE, GA 30248-3513
(770) 305-7929
(770) 305-7969
Mailing address
3334 HIGHWAY 155, LOCUST GROVE, GA 30248-3513
(770) 305-7929
(770) 305-7969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10484
GA
Other
Enumeration date
04/01/2021
Last updated
08/19/2021
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