| Doctor Name: | PAMELA DIANE THOMAS |
| NPI Number: | 1518390137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. S. APC |
| License Number: | APC003983 |
| Business Practice Address: | 1875 Fant Dr Fort Oglethorpe, GA - 307423307 |
| Business Phone Number: | 7068061226 |
| Business Fax Number: | 7068061109 |
| Mailing Address: | 1875 Fant Dr, FORT OGLETHORPE |
| State: | GA |
| Postal Code: | 307423307 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2013 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | APC003983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |