Individual
MS. MILDRED A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SE MOULTRIE ROAD, DOERUN, GA 31744
(229) 873-4674
Mailing address
PO BOX 606, DOERUN, GA 31744
(229) 873-4674
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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