Individual
DR. KYLE MATTHEW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
(770) 427-8001
Mailing address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
(770) 427-8001
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
34.014005
OH
2086S0102X
Surgical Critical Care Physician
5101020643
MI
2086S0102X
Surgical Critical Care Physician
86368
GA
2086S0127X
Trauma Surgery Physician
Primary
86368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366962
—
OH
Enumeration date
06/13/2013
Last updated
10/01/2020
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