Individual
CRYSTAL TRIMELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
911 CAMMARON WAY, AUGUSTA, GA 30907-0941
(706) 951-6480
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN228806
GA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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