Individual
DR. SOREN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5953 BUFORD HWY NE STE 202, DORAVILLE, GA 30340-1375
(770) 458-0025
(404) 900-9205
Mailing address
5953 BUFORD HWY NE, STE 202, DORAVILLE, GA 30340-1375
(770) 458-0025
(404) 900-9205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
026895
GA
208D00000X
General Practice Physician
Primary
26895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000335827AA
—
GA
Enumeration date
06/05/2006
Last updated
05/09/2017
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