Individual
NORMAN BRYANT THOMSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2076
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
29805
GA
2085R0202X
Diagnostic Radiology Physician
Primary
13310
SC
2085R0202X
Diagnostic Radiology Physician
29805
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343681A
—
GA
01
—
023851
BLUE CROSS BLUE SHIELD
GA
05
—
G29805
—
SC
Enumeration date
06/02/2005
Last updated
11/30/2023
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