Individual
MS. CAROL ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046
(404) 645-7150
Mailing address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN053639
GA
363LF0000X
Family Nurse Practitioner
RN053639
GA
Other
Enumeration date
01/31/2008
Last updated
08/15/2018
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