Individual
DR. THOMAS BARRY CLOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D,P.C
Contact information
Practice address
1595 MULKEY RD, AUSTELL, GA 30106-1111
(770) 948-1000
(770) 948-4699
Mailing address
1595 MULKEY RD, AUSTELL, GA 30106-1111
(770) 948-1000
(770) 948-4699
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180674
—
GA
Enumeration date
11/12/2007
Last updated
11/12/2007
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