Provider Demographics
NPI:1023389772
Name:THOMAS, TOMECAS (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:TOMECAS
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 MAPLE WALK CIR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-2278
Mailing Address - Country:US
Mailing Address - Phone:404-290-5372
Mailing Address - Fax:
Practice Address - Street 1:1229 MAPLE WALK CIR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-2278
Practice Address - Country:US
Practice Address - Phone:404-290-5372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula