Individual
DR. CARLY W THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3227 N OAK ST EXT, SUITE A, VALDOSTA, GA 31605
(229) 247-3200
(229) 241-1900
Mailing address
3227 N OAK ST EXT, SUITE A, VALDOSTA, GA 31605
(229) 247-3200
(229) 241-1900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
012280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00917067A
—
GA
Enumeration date
09/20/2006
Last updated
07/08/2007
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