Mary Grace Thomas, Ph.D.,P.C.

LBN: Mary Grace Thomas, Ph.D.,P.C.
Mary Grace Thomas, Ph.D.,P.C. is an health care organization with primary practice located at 4411 Suwanee Dam Rd Suite 920, Suwanee GA 30024-8701. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Mary Grace Thomas, Ph.D.,P.C. can be contacted via phone (678) 714-9590, or through Thomas, Mary Grace via phone (678) 714-9590.

Contact Information

Primary practice address
4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701
Phone: (678) 714-9590
Fax: (678) 714-9535
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Mary Grace PH.D.
Phone: (678) 714-9590

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1806 Georgia

Profile Details

NPI number 1073848891
LBN Legal business name Mary Grace Thomas, Ph.D.,P.C.
DBA Doing business as
Authorized official Thomas, Mary Grace PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2009
Last updated Oct 13th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073848891 NPPES
Georgia MEDICAID 00614545A

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