Thomas, Ceretha

Thomas, Ceretha is an individual health care provider with primary practice located at 139 Henry Pkwy , Mcdonough GA 30253. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Thomas, Ceretha can be contacted via phone (770) 358-5252.

Contact Information

Primary practice address
139 Henry Pkwy Mcdonough GA 30253
Phone: (770) 358-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 211903NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 211903 Georgia

Profile Details

NPI number 1124061791
LBN Legal business name Thomas, Ceretha
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124061791 NPPES
Georgia MEDICAID 003104504G

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