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1477225340
MITSPA THOMAS
WATKINSVILLE, GA
NPI
1477225340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN311227)
Enumeration Date
2021-09-29
Last Update Date
2024-07-19
Business Address
MITSPA THOMAS
1460 RESURGENCE DR
WATKINSVILLE, GA 30677-7320
Phone number: 706-515-2410
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Mailing Address
MITSPA THOMAS
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607-1400
Phone number: 706-353-2290
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