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Contact Information

CERETHA THOMAS, ARNP
139 HENRY PKWY
MCDONOUGH, GA30253
 Phone: 770-358-5252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CERETHA THOMAS · (Female)

NPI # 1124061791
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/13/2006
Last updated 06/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 211903
  • GA License # 211903NP
  • GA Medicaid 003104504G
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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