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NPI Code Detail

MEDICARE: LAUREL ADELINE THOMAS

MEDICARE: LAUREL ADELINE THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician111700GA

General Provider Information

NPI Number : 1760100010
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL ADELINE THOMAS
Provider Business Mailing Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 330-543-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 05/25/2026

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Directions to “ LAUREL ADELINE THOMAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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