Individual
THOMAS ALEXANDEER MACKEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNPC
Contact information
Practice address
704 GIL HARBIN INDUSTRIAL BLVD, VALDOSTA, GA 31601-6513
(229) 242-9003
(229) 242-0490
Mailing address
PO BOX 889, LAKE PARK, GA 31636-0889
(229) 242-9003
(229) 242-0490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN146046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618616123A
—
GA
Enumeration date
03/01/2006
Last updated
04/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us