Individual
THOMAS S BACKER
Active
Individual
THOMAS S BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
030711
GA
207RC0000X
Cardiovascular Disease Physician
Primary
030711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110033309
RAILROAD MEDICARE
GA
01
—
4216134
AETNA
GA
01
—
484268
BCBS
GA
01
—
TAX ID NUMBER
UNITED HEALTHCARE
GA
Enumeration date
05/24/2005
Last updated
02/23/2023
Update your record
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