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Individual
DR. THOMAS J. LOCKE III
Active
Individual
DR. THOMAS J. LOCKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036409
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
XL1389370
GA
208D00000X
General Practice Physician
Primary
036409
GA
Other
Enumeration date
05/12/2009
Last updated
08/25/2022
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