Individual
DR. FIONN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
219 SAVANNAH AVE, STATESBORO, GA 30458-2001
(912) 764-6149
(912) 764-3863
Mailing address
PO BOX 1490, STATESBORO, GA 30459-1490
(912) 764-6149
(912) 764-3863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000879909B
—
GA
Enumeration date
10/18/2010
Last updated
10/18/2010
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