Individual provider · Type 1 NPI

Kometh Thawanyarat, BA

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

NPI number 1972292936 Active

Practice location

4105 Royal Pennon Ct
Peachtree Corners, GA 30092-2180

Mailing address

1120 15th St
Augusta, GA 30912-0004

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 1972292936

Kometh Thawanyarat, BA's National Provider Identifier is 1972292936, issued on May 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peachtree Corners, GA. The record was last updated on May 4, 2023.