Individual
MR. BENJAMIN PAUL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
840 STEVENS CREEK ROAD, AUGUSTA, GA 30907
(706) 722-6957
(706) 722-1999
Mailing address
PO BOX 204630, AUGUSTA, GA 30917-4630
(706) 722-6957
(706) 722-1999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5522
SC
225100000X
Physical Therapist
Primary
PT009340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174254063A
—
GA
Enumeration date
08/28/2007
Last updated
08/29/2008
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