Jerry Lamar Thomas

NPI 1326170663 - Dentist - 1223D0001X

NPI Details
NPI 1326170663
Gender Male
Enumeration Date 03/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
128 MARTIN LUTHER KING JR CT
LAGRANGE GA, 30241-3656, US
Phone (706) 884-8009
Fax
Business Location
128 MARTIN LUTHER KING JR CT
LAGRANGE GA, 30241-3656, US
Phone (706) 884-8009
Fax
Toxanomy
Taxonomy Code 1223D0001X
License State Georgia
License Number 1223D0001X
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According to our database, Mr. Jerry Lamar Thomas NPI is 1326170663, taxonomy code is 1223D0001X and license number is 1223D0001X, license state is located at Georgia. Jerry Lamar Thomas physically located at 128 Martin Luther King Jr Ct, Lagrange GA, 30241-3656. NPI Number Jerry Lamar Thomas has the Individual type.

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1326170663 NPI number is provided on an as is basis without warranty of any kind. 1326170663 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Lamar Thomas are for informational purposes only.