Individual
MARCUS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16925 JENNWAY TER, MOSELEY, VA 23120-1371
(678) 683-4960
Mailing address
16925 JENNWAY TER, MOSELEY, VA 23120-1371
(678) 683-4960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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