Individual
ANITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
200 CRESCENT CENTRE PARK, INTERNAL MEDICINE HEALTH CARE TEAM A, TUCKER, GA 30084
(770) 496-3625
(770) 496-3717
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN143191
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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