Individual
FELICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 1ST AVE NE, MOULTRIE, GA 31768-4041
(229) 589-3703
Mailing address
1417 1ST AVE NE, MOULTRIE, GA 31768-4041
(229) 589-3703
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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