Individual
MR. JASON JOVAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(678) 613-1078
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(678) 613-1078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67814
GA
Other
Enumeration date
06/08/2009
Last updated
05/30/2013
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