Individual
THOMAS PANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3795 MANSELL RD, ALPHARETTA, GA 30022-8247
(404) 785-8540
(404) 785-8574
Mailing address
165 FLOWING SPRING TRL, ROSWELL, GA 30075-1867
(770) 642-0393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000616844
—
GA
Enumeration date
04/27/2006
Last updated
11/26/2013
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