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Individual

MRS. LINDA ANN THAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN,BC

Contact information

Practice address
900 EAGLES PARKWAY, STOCKBRIDGE, GA 30281
(770) 997-0600
(770) 991-5576
Mailing address
900 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7343
(770) 997-0600
(770) 991-5576

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN122730
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003133577A
GA
01
1528258134
NPI
01
RN122730
STATE LICENSE
GA
Enumeration date
07/30/2007
Last updated
10/13/2015
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