Individual
ANIL OOMMEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 STONEBRIDGE PKWY, SUITE 440, WOODSTOCK, GA 30189-3767
(770) 977-7777
(404) 355-2136
Mailing address
120 STONEBRIDGE PKWY, SUITE 440, WOODSTOCK, GA 30189-3767
(770) 977-7777
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
072504
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2008
Last updated
11/02/2015
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