Individual
ALIYAH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4342 BRADDOCK DR, COLUMBUS, GA 31907-5422
(706) 604-8300
Mailing address
4342 BRADDOCK DR, COLUMBUS, GA 31907-5422
(706) 604-8300
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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