Doctor Name: | MRS. JULIE DOAR THOMAS |
NPI Number: | 1023042702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 004671 |
Business Practice Address: | 800 E 70th St Savannah, GA - 314054813 |
Business Phone Number: | 9126920606 |
Business Fax Number: | 9126920707 |
Mailing Address: | Po Box 162910, ATLANTA |
State: | GA |
Postal Code: | 303212910 |
Phone Number: | 9126920606 |
Fax Number: | 9126920707 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 04/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 004671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |