Provider Demographics
NPI:1194969733
Name:THOMAS, BRITTANY JAMILLE (MD)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:JAMILLE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:JAMILLE
Other - Last Name:JACKSON-BIVINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1463 CARROLL DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-3603
Mailing Address - Country:US
Mailing Address - Phone:404-207-5770
Mailing Address - Fax:
Practice Address - Street 1:303 PARKWAY DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1212
Practice Address - Country:US
Practice Address - Phone:404-265-6410
Practice Address - Fax:404-265-6488
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA71426207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program