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Individual

DR. ANASTASIA M THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
5385 FIVE FORKS TRICKUM RD, SUITE F, STONE MOUNTAIN, GA 30087-3018
(678) 404-8611
(770) 790-0054
Mailing address
4045 FIVE FORKS TRICKUM RD SW, SUITE D-17, PMB 248, LILBURN, GA 30047-2538
(678) 718-5835
(770) 790-0054

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
N006095-1
NY
213ES0131X
Foot Surgery Podiatrist
Primary
POD001061
GA

Other

Enumeration date
05/31/2006
Last updated
03/09/2016
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