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NPI Code Detail

MEDICARE: HYACINTH THOMAS FNP-C

MEDICARE:   HYACINTH  THOMAS  FNP-C
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
1363L00000XNurse PractitionerRN192999GA

General Provider Information

NPI Number : 1164402343
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYACINTH THOMAS FNP-C
Provider Business Mailing Address
First Line : 771 OLD NORCROSS RD
Second Line : SUITE 200
City : LAWRENCEVILLE
State : GA
Zip : 30046-4386
Country : US
Telephone Number : 770-339-1387
Fax Number : 770-962-7868
Provider Business Practice Location Address
First Line : 771 OLD NORCROSS RD
Second Line : SUITE 200
City : LAWRENCEVILLE
State : GA
Zip : 30046-4386
Country : US
Telephone Number : 770-339-1387
Fax Number : 770-962-7868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/20/2016

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Directions to “ HYACINTH THOMAS FNP-C” Practice Location

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