MEDICARE: LINDSAY BROOKE 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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1508679622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY BROOKE THOMAS

Provider Business Mailing Address
First Line	:	3120 N OAK STREET EXT
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-5909
Country	:	US
Telephone Number	:	229-671-6170
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 N OAK STREET EXT
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-5909
Country	:	US
Telephone Number	:	229-671-6170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	03/07/2025

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Directions to “ LINDSAY BROOKE THOMAS ” Practice Location

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