Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 381916 | NY |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN219545 | GA |
NPI | 1033356555 |
---|---|
Provider Name | Ms. Robin Althea Thomas |
First Address | Atlanta, GA 30342-4729 |
Second Address | Atlanta, GA 30342-4729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 24/07/2013 |