# THOMAS D FAUSETT JR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720365018
- **Authorized official:** THOMAS D FAUSETT JR. M.D (PRESIDENT)
- **Authorized official phone:** (229) 896-7007

## Contact information

- **Practice address:** 707 N PARRISH AVE, ADEL, GA 31620-1521
- **Practice address phone:** (229) 896-7007
- **Practice address fax:** (229) 896-7627
- **Mailing address:** 707 N PARRISH AVE, ADEL, GA 31620-1521
- **Mailing address phone:** (229) 896-7007
- **Mailing address fax:** (229) 896-7627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 046090 | GA | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 11/15/2011