Individual
PENNY T THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 TEFEL EAST DR, HARTWELL, GA 30643-4854
(706) 961-8602
(706) 961-9395
Mailing address
169 TEFEL EAST DR, HARTWELL, GA 30643-4854
(706) 961-8602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN093555
GA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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