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Individual

THOMAS NICHOLAS JAUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 251-8865
Mailing address
44 KROG ST NE UNIT 528, ATLANTA, GA 30307-2654

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11637200
NJ
207P00000X
Emergency Medicine Physician
83835
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2018
Last updated
11/09/2022
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