Individual
BENJAMIN JOHN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
75932
GA
207W00000X
Ophthalmology Physician
Primary
ME127512
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
75932
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME127512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177316A
—
GA
05
—
017147700
—
FL
Enumeration date
03/24/2009
Last updated
04/20/2023
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