Individual
DR. THADDEUS IVORY LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3855 PLEASANT HILL RD STE 100, DULUTH, GA 30096-8030
(678) 312-7800
(678) 312-7818
Mailing address
PO BOX 116156, ATLANTA, GA 30368-6156
(470) 325-0100
(470) 325-0193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
073192
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
73192
GA
Other
Enumeration date
04/27/2006
Last updated
01/18/2022
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