Individual provider · NPI-1
Brian Thomas
Nurse's Aide · Mableton, GA
NPI number1992657043
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1992657043
- Entity type
- Individual (NPI-1)
- Name
- Brian Thomas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2026
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | GA | Yes |
Practice location
417 Vinings Vintage CirMableton, GA 30126-7205
Phone 678-760-1401
Mailing address
417 Vinings Vintage CirMableton, GA 30126-7205
Phone 678-760-1401
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