Individual
MR. STEVE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
970 JOE FRANK HARRIS PKWY SE, SUITE 350, CARTERSVILLE, GA 30120-2159
(770) 386-3011
(770) 386-9451
Mailing address
PO BOX 200429, CARTERSVILLE, GA 30120-9008
(770) 386-3011
(770) 386-9451
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R041293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00520066C
—
GA
Enumeration date
08/25/2006
Last updated
01/29/2009
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