Individual
JASON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3896 PRINCETON LAKES WAY SW, ATLANTA, GA 30331-5510
(404) 489-4444
Mailing address
4267 WINDING TRAIL LN, DOUGLASVILLE, GA 30135-7226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN302180
GA
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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