Individual
MRS. JACINTA LAKE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-C
Contact information
Practice address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(404) 733-6089
(612) 659-7101
Mailing address
1717 BENNETT DR, MCDONOUGH, GA 30253-9039
(678) 787-8647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN117444
GA
Other
Enumeration date
10/15/2005
Last updated
03/06/2013
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