Individual
DR. MICHAEL A THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036886
GA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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