Individual
LINDA KELIKUME THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 BAPTIST BLVD STE 407, COLUMBUS, MS 39705-2004
(662) 244-2430
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
906947
MS
363LA2100X
Acute Care Nurse Practitioner
918082
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
548719025
DRIVERS LICENSE
MS
Enumeration date
09/19/2022
Last updated
12/26/2024
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