Individual
LORRAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 364-1404
(706) 364-1419
Mailing address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 364-1404
(706) 364-1419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN177328
GA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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