Individual
DR. EDMUND THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2536 ROCKBRIDGE RD STE 103, STONE MOUNTAIN, GA 30087
(678) 395-5913
Mailing address
2536 ROCKBRIDGE RD STE 103, STONE MOUNTAIN, GA 30087-3636
(678) 395-5913
(678) 395-5678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015280
GA
Other
Enumeration date
07/02/2014
Last updated
08/07/2018
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