Individual
BRIAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 VININGS VINTAGE CIR, MABLETON, GA 30126-7205
(678) 760-1401
Mailing address
417 VININGS VINTAGE CIR, MABLETON, GA 30126-7205
(678) 760-1401
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
GA
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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