Jacinta Lake Thomas in Mcdonough - Family
Jacinta Lake Thomas - NPI 1972592699
Jacinta Lake Thomas is a Family in Mcdonough, Georgia. Jacinta Lake Thomas practices all healthcare services and medical treatments related to Family. The NPI Number for Jacinta Lake Thomas is 1972592699. The last update date is 2013-03-06.
Jacinta Lake Thomas's current location address is 1717 Bennett Dr, Mcdonough, Georgia. You can contact this provider via phone number 6787878647. The mailing address for Jacinta Lake Thomas is 1717 Bennett Dr, Mcdonough, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacinta Lake Thomas |
|---|---|
| Address | 1717 Bennett Dr, Mcdonough, Georgia |
| Phone Number | 6787878647 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DNP, APRN- |
NPI Number Detail
| NPI Number | 1972592699 |
|---|---|
| Provider Enumeration Date | 2005-10-15 |
| Last Updated Date | 2013-03-06 |
Provider Mailing Address Detail
| Address | 1717 Bennett Dr |
|---|---|
| City | Mcdonough |
| State | Georgia (GA) |
| Post Code | 302539039 |
| Phone Number | 6787878647 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN117444 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Jacinta Lake Thomas by the Centers for Medicare & Medicaid Services?
The Jacinta Lake Thomas has been issued the NPI (National Provider Identifier) 1972592699. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jacinta Lake Thomas's facilities are geographically located?
The facilities of Jacinta Lake Thomas are physically situated at the following location: 1717 Bennett Dr, Mcdonough, GA, 302539039.
What is Jacinta Lake Thomas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacinta Lake Thomas is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did Jacinta Lake Thomas receive its 1972592699 assignment from the Centers for Medicare & Medicaid Services?
The Jacinta Lake Thomas was assigned its 1972592699 on 2005-10-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jacinta Lake Thomas's information last updated?
The Jacinta Lake Thomas's information was last updated on 2013-03-06.
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