Individual
DR. THOMAS PATRICK DEMARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2665 N DECATUR RD, STE 430, DECATUR, GA 30033-6145
(404) 294-4018
(404) 294-1359
Mailing address
2665 N DECATUR RD, STE 430, DECATUR, GA 30033-6145
(404) 294-4018
(404) 294-9161
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
032171
GA
207RP1001X
Pulmonary Disease Physician
Primary
032171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00403356C
—
GA
01
—
0932200001
WORKERS COMPENSATION
GA
01
—
110093072
RAILROAD MEDICARE
GA
01
—
1407831696
NPI
GA
01
—
2138458010
CIGNA
—
01
—
264495
BLUE CROSS BLUE SHIELD
GA
01
—
2999931
GHI
—
01
—
4092541
AETNA
—
01
—
4806430
UNITED HEALTHCARE
—
01
—
5930
KAISER
GA
Enumeration date
12/09/2005
Last updated
01/25/2010
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