Individual
COURTNEY AMELIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
(706) 596-5589
Mailing address
PO BOX 865, LUMPKIN, GA 31815-0865
(706) 575-7680
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN104080
GA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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