Individual provider · Type 1 NPI

Terry Terrence Thomas Jr., DO

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1366244600 Active

Practice location

833 Campbell Hill St NW Ste 250
Marietta, GA 30060-1162

Mailing address

677 Church St NE
Marietta, GA 30060-1101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366244600

Terry Terrence Thomas Jr., DO's National Provider Identifier is 1366244600, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Mar 26, 2025.