Individual
JAMIE FAITH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 ALICE ST, WAYCROSS, GA 31501-4530
(912) 285-0877
Mailing address
1501 ALICE ST, WAYCROSS, GA 31501-4530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
289935
GA
363LP2300X
Primary Care Nurse Practitioner
289935
GA
363LW0102X
Women's Health Nurse Practitioner
289935
GA
Other
Enumeration date
04/06/2022
Last updated
11/27/2023
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