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Edmund Thomas
NPI 1578979381 · on the registry since 2014
Practice
- Address
- 2536 Rockbridge Rd Ste 103
Stone Mountain, GA 30087 - Phone
- (678) 395-5913
- Organisation at this address
- Eastlight Dental, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-07
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