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MRS. SHANNON M THOMAS CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1184696429

Individual Registrant:
MRS. SHANNON M THOMAS CRNA
Gender: F

Location and contact information for practice:
215 MIMS RD  SYLVANIA, GA 30467-1994 US
Tel: 912-564-5253  Fax: --

Contact information for business:
784 SWEET BAY CT  EVANS, GA 30809-4469 US
Tel: 706-863-4915  Fax: --

Registration Information:
NPI: 1184696429
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
GARN112820

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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