Provider Demographics
NPI:1932691086
Name:THOMAS, AMANDA BRITTANY (AUD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BRITTANY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 WHITLOCK AVE SW STE A36
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4654
Mailing Address - Country:US
Mailing Address - Phone:770-427-3033
Mailing Address - Fax:
Practice Address - Street 1:707 WHITLOCK AVE SW STE A36
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4654
Practice Address - Country:US
Practice Address - Phone:770-427-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPENDING231H00000X
GAAUD004132231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist