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Individual

THOMAS DUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
521 HILL STREET SW, THOMSON, GA 30824
(706) 597-5302
(865) 291-3228
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055000
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
667338672D
GA
05
667338672G
GA
05
667338672H
GA
01
P00227249
RAILROAD MEDICARE
01
P00342771
RAILROAD MEDICARE
GA
Enumeration date
05/30/2006
Last updated
04/21/2022
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