Individual
THOMAS FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 EAGLE VIEW DR, KODAK, TN 37764-2418
(865) 308-0075
(561) 634-2874
Mailing address
915 EAGLE VIEW DR, KODAK, TN 37764-2418
(865) 308-0075
(561) 634-2874
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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