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Individual
IAN THOMAS
Active
Individual
IAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1181566
GA
363AS0400X
Surgical Physician Assistant
Primary
10252
GA
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Enumeration date
05/11/2021
Last updated
05/07/2024
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