IndividualActive
Angel Thomas, ARDMS, RVT
NPI 1033738570 · Diagnostic Ultrasound Physician · Port Wentworth, GA
Provider details
- NPI number
- 1033738570
- Entity type
- Individual
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Credential
- ARDMS, RVT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 134297 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
21 Lake Shore Blvd
Port Wentworth, GA 31407-3612
Phone: (912) 704-1053
Approximate (ZIP-level) locationGet directions
Mailing address
21 Lake Shore Blvd
Port Wentworth, GA 31407-3612
Registry dates
- Enumerated
- 2020-04-14
- Last updated
- 2020-04-26
- Certified
- 2020-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.