Individual
DR. THOMAS WALTER LAWHORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, STE 1009, COLUMBUS, GA 31904-6877
(706) 596-8200
(706) 571-0207
Mailing address
PO BOX 8805, COLUMBUS, GA 31908-8805
(706) 596-8200
(706) 571-0207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
020333
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
020333
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000193135F
—
GA
05
—
000193135I
—
GA
01
—
202I332813
MEDICARE PTAN
GA
Enumeration date
05/05/2006
Last updated
08/03/2015
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