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Individual

DR. THOMAS M KRETZMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
406 W MAIN ST, THOMASTON, GA 30286
(706) 647-6608
(706) 647-9207
Mailing address
406 W MAIN ST, THOMASTON, GA 30286
(706) 647-6608
(706) 647-9207

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA001241
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000446773C
GA
Enumeration date
09/20/2006
Last updated
10/04/2010
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