Individual
ELIZABETH A DAMICO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 400, MARIETTA, GA 30068
(678) 718-2940
(678) 718-2941
Mailing address
6600 PEACHTREE DUNWOODY RD STE 325, ATLANTA, GA 30328-6773
(404) 876-1906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN093201
GA
Other
Enumeration date
09/21/2006
Last updated
12/16/2020
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