Porsche Quincola Thomas, MEDICALWIGPROVIDER
Porsche Quincola Thomas, MEDICALWIGPROVIDER is a Basic Emergency Medical Technician in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
3535 Peachtree Rd NE Ste 527Atlanta, GA 30326-3287
Phone: (734) 686-7523
Fax: (404) 671-8588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X (GA) |
|---|---|
| Basic Emergency Medical Technician | Taxonomy 146N00000X (GA) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1497468714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MEDICALWIGPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | January 2, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
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