Individual
DEMETRIA NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
190 SPALDING CREEK CT, SANDY SPRINGS, GA 30350-1176
(770) 851-0802
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10608
GA
Other
Enumeration date
03/19/2021
Last updated
11/18/2021
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