NPI 1033610415

Derrick Jackson Thomas, ATC

Practitioner Athletic Trainer Savannah, GA

Practice location

Address: 1 Bonnybridge Rd, Savannah, GA 31407-1312
Phone: (704) 796-9595
Mailing address: 1 Bonnybridge Rd, Port Wentworth, GA 31407-1312

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT003116 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1033610415
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2018
Record last updated: 22 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.