Provider Demographics
NPI:1386715761
Name:THOMAS, PAMELLA D (MD,MPH)
Entity type:Individual
Prefix:DR
First Name:PAMELLA
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4058 SANDY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-3800
Mailing Address - Country:US
Mailing Address - Phone:770-494-4134
Mailing Address - Fax:770-593-0021
Practice Address - Street 1:4058 SANDY LAKE DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-3800
Practice Address - Country:US
Practice Address - Phone:770-494-4134
Practice Address - Fax:770-593-0021
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA192772083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine