Individual
BENARD RAY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 ALLEN OAKS WAY, COVINGTON, GA 30016-4513
(678) 770-3115
Mailing address
10 ALLEN OAKS WAY, COVINGTON, GA 30016-4513
(678) 770-3115
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN135905
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN135905
GA
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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