Individual
ERIC GLENN THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
1149 HUEY RD, DOUGLASVILLE, GA 30134-3920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN258475
GA
Other
Enumeration date
06/28/2022
Last updated
08/31/2022
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