Individual
JOSEPH STUART THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 CONNELL RD, SUITE T, VALDOSTA, GA 31602-1407
(229) 242-9565
(229) 242-1725
Mailing address
410 CONNELL RD, SUITE T, VALDOSTA, GA 31602-1407
(229) 242-9565
(229) 242-1725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065659819
—
GA
Enumeration date
09/22/2006
Last updated
01/30/2017
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