Individual
MR. MARK SHANNON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 FOUNTAIN SQ, SNELLVILLE, GA 30078-3196
(770) 689-9788
Mailing address
2055 GEES MILL RD NE STE 313, CONYERS, GA 30013-1363
(770) 689-9788
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
09/11/2025
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