Individual
WILMA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
3700 GIN WAY, SNELLVILLE, GA 30039-2732
(770) 314-5104
Mailing address
3700 GIN WAY, SNELLVILLE, GA 30039-2732
(770) 483-8915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN046507
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000870581E
—
GA
Enumeration date
11/21/2005
Last updated
10/03/2023
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