Individual
DR. THOMAS ISENOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-3612
Mailing address
39 OAK ST, SARATOGA SPRINGS, NY 12866-4013
(706) 405-6779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203563559B
—
GA
Enumeration date
09/26/2006
Last updated
08/13/2013
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