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Individual

DR. THOMAS AARON BUICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
522 GREENWOOD ST, STE A, BARNESVILLE, GA 30204-1554
(770) 872-3663
(770) 872-3665
Mailing address
522 GREENWOOD ST, STE A, BARNESVILLE, GA 30204-1554
(770) 872-3663
(770) 872-3665

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051758
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000962255B
GA
01
200717378
TAX ID
GA
Enumeration date
06/30/2006
Last updated
11/01/2011
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