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MRS. SHANNON M THOMAS CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1184696429
Individual Registrant:MRS. SHANNON M THOMAS CRNA
Gender: F
Gender: F
Location and contact information for practice:
215 MIMS RD SYLVANIA, GA 30467-1994 US
Tel: 912-564-5253 Fax: --
Tel: 912-564-5253 Fax: --
Contact information for business:
784 SWEET BAY CT EVANS, GA 30809-4469 US
Tel: 706-863-4915 Fax: --
Tel: 706-863-4915 Fax: --
Registration Information:
NPI: 1184696429
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | GA | RN112820 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
