Individual
SHEILA THOMPSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
1247 BRITAIN DR, LAWRENCEVILLE, GA 30044-2639
(330) 942-2810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN051004
GA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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