Individual
DR. THOMAS CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3905 BROOKSIDE PKWY STE 203, ALPHARETTA, GA 30022-4425
(267) 226-3181
(888) 823-1934
Mailing address
3905 BROOKSIDE PKWY STE 203, ALPHARETTA, GA 30022-4425
(267) 226-3181
(888) 823-1934
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
59383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59383
GEORGIA MEDICAL LICENSE
GA
Enumeration date
09/02/2006
Last updated
08/24/2023
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