Individual
DR. STUART JACKSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1077 BAXTER ST, ATHENS, GA 30606-3767
(706) 549-7757
(706) 549-4186
Mailing address
1077 BAXTER ST, ATHENS, GA 30606-3767
(706) 549-7757
(706) 549-4186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1062
GA
152WS0006X
Sports Vision Optometrist
GA 1062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314388A
—
GA
Enumeration date
02/13/2006
Last updated
12/09/2013
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