Individual
MISS THERESA A. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SE BROAD ST STE 2, FAIRBURN, GA 30213-1561
(678) 829-3783
Mailing address
424 SE BROAD ST STE 2, FAIRBURN, GA 30213-1561
(678) 829-3783
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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