DERRICK JACKSON THOMAS

SAVANNAH, GA
NPI1033610415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT003116)
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
DERRICK JACKSON THOMAS ATC
1 BONNYBRIDGE RD
SAVANNAH, GA 31407-1312
Phone number: 704-796-9595
Mailing Address
DERRICK JACKSON THOMAS ATC
1 BONNYBRIDGE RD
PORT WENTWORTH, GA 31407-1312
Phone number: 704-796-9595
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