Individual
DR. THOMAS CARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 S ZETTEROWER AVE, STATESBORO, GA 30458-4816
(912) 489-2400
(703) 991-7215
Mailing address
PO BOX 2697, STATESBORO, GA 30459-2697
(843) 605-5087
(703) 991-7215
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
041528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00917188A
—
GA
01
—
071975
BLUE CROSS BLUE SHIELD
GA
Enumeration date
01/02/2006
Last updated
01/07/2025
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