Individual
MONIERICA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S MAGNOLIA ST STE B, ALBANY, GA 31707-4255
(770) 364-9009
Mailing address
100 S MAGNOLIA ST STE B, ALBANY, GA 31707-4255
(770) 364-9009
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
10092820
GA
Other
Enumeration date
09/30/2025
Last updated
11/12/2025
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