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Individual
DR. CRISTIAN MAURICIO THOMAE
Active
Individual
DR. CRISTIAN MAURICIO THOMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
032825
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
37841
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00427237C
—
GA
01
—
032825
LICENSE
GA
01
—
52022921
BCBS GA PROVIDER NUMBER
GA
01
—
G32825
SC MEDICAID
SC
Enumeration date
10/11/2006
Last updated
06/23/2015
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