Individual
JENNIFER TIAMESE YANCEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1175 CASCADE PKWY SW, ATLANTA, GA 30311
(404) 731-8016
Mailing address
1175 CASCADE PKWY SW, ATLANTA, GA 30311-3090
(404) 731-8016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
077957
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2013
Last updated
03/08/2022
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