Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LAMAR THOMAS
ActiveDental Public Health · LAGRANGE, GA
Registration Details
- NPI Number
- 1326170663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2007 (19.111494751905 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1223D0001X (GA)
Practice Information
- Address
-
128 MARTIN LUTHER KING JR CTLAGRANGE, GA, 302413656Browse GA providers · Browse ZIP 30241
- Phone
- 7068848009
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.