Individual
KEDRICK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 NORTH JACKSON STREET, AMERICUS, GA 31709
(229) 931-2470
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2470
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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