Individual
DR. THOMAS R FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 EAGLE SPRING CT STE A, STOCKBRIDGE, GA 30281-6330
(678) 287-7710
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
056566
GA
208600000X
Surgery Physician
Primary
56566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783252541C
—
GA
Enumeration date
09/08/2005
Last updated
05/26/2021
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