Individual
THOMAS NEIL TREVETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8988
Mailing address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8988
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
060482
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901211
—
NC
05
—
760712760A
—
GA
05
—
760712760B
—
GA
05
—
760712760C
—
GA
05
—
760712760D
—
GA
05
—
760712760E
—
GA
05
—
760712760F
—
GA
Enumeration date
10/19/2005
Last updated
04/23/2009
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