Individual
MRS. CORRINNE ANNE THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1701 HARDEE AVENUE, FORT MCPHERSON, GA 30330
(404) 464-0241
Mailing address
1880 NEIGHBORHOOD WALK, MCDONOUGH, GA 30252-8643
(770) 320-9498
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
069651
GA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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