Individual
MRS. CLARICE J THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
205 TOM HILL SR BLVD STE B, MACON, GA 31210-1932
(404) 464-0304
Mailing address
504 CANDLEWICK CT, MACON, GA 31220-2682
(478) 731-9306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F4240419
GA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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