Search › Georgia › 363LA2200X
Jolly Thomas
NPI 1376914184 · on the registry since 2015
Practice
- Address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046 - Phone
- (678) 312-1000
- Organisation at this address
- Northside Hospital Inc
Northside Hospital, Inc.
Gwinnett Pathology Assoc Pc
Gwinnett Medical Group, Inc
Gwinnett Physician Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 497
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
163W00000X - Licence states on file
- PA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia