Organization Name: | THOMSON PODIATRY ASSOCIATES, PC |
NPI Number: | 1639281678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA C ROBERTS (OFFICE MANAGER) |
Mailing Address: | 1043 Washington Rd Thomson |
State: | GA US |
Postal Code: | 308247318 |
Phone Number: | 7065970102 |
Fax Number: | 7065971998 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 12/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 000713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |