Individual
DR. JOHN NATHANIEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
170 BASTILLE WAY, SUITE A, FAYETTEVILLE, GA 30214-7652
(770) 460-1911
(770) 460-1811
Mailing address
170 BASTILLE WAY, SUITE A, FAYETTEVILLE, GA 30214-7652
(770) 460-1911
(770) 460-1811
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR005740
GA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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