Individual
MS. MARQUITA KATRICE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2730 PEACHTREE INDUSTRIAL BLVD STE 105, DULUTH, GA 30097-8627
(678) 476-2060
Mailing address
PO BOX 957265, DULUTH, GA 30095-9522
(678) 476-2060
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-0814Y19
GA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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