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Individual

MR. DARRIUS DARRELL JAMES THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
10 PARK PLACE NE, ATLANTA, GA 30303
(404) 616-1000
Mailing address
970 WINBURN DR, EAST POINT, GA 30344-2853
(678) 939-9438

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN203548
GA

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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