Most Relevant Information
Provider Data
| NPI Number: | 1003454687 |
| Provider Name: | KATHERINE ELAINE CAMPBELL THOMAS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN183592 |
Most Important Dates
| Enumeration Date: | 12/14/2019 |
| Last Updated: | 12/18/2019 |
Provider Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE
GA
300467694
Practice Location Phone/Fax
| Phone: | |
| Fax: |
Provider Mailing Location
1306 NATHAN MAULDIN DR
LAWRENCEVILLE
GA
300437245
Provider Mailing Phone/Fax
| Phone: | 6784377486 |
| Fax: |