Individual
DR. THOMAS ALEXANDER O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(624) 083-6697
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-3669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
83743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83743
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
05/31/2018
Last updated
09/10/2024
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