| Mary Grace Thomas, Ph.d.,p.c. | |
|
4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701 | |
| (678) 714-9590 | |
| (678) 714-9535 |
| Full Name | Mary Grace Thomas, Ph.d.,p.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4411 Suwanee Dam Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Mary Grace Thomas (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6787149590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Grace Thomas, Ph.d.,p.c. 4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701 Ph: (678) 714-9590 | Mary Grace Thomas, Ph.d.,p.c. 4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701 Ph: (678) 714-9590 |
| NPI Number | 1073848891 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073848891 | NPI | - | NPPES |
| 00614545A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1806 (Georgia) | Primary |
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