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Individual
EVERETTE BERNARD THOMBS JR.
Active
Individual
EVERETTE BERNARD THOMBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052378
GA
208M00000X
Hospitalist Physician
Primary
052378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10067526
AMERIGROUP
GA
01
—
366815
WELLCARE
GA
05
—
804216761B
—
GA
05
—
804266761C
—
GA
05
—
G52378
—
SC
01
—
P00389475
RR MEDICARE
GA
01
—
P00803297
RR MEDICARE
GA
Enumeration date
10/06/2006
Last updated
07/20/2011
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