Organization
GI SURGERY ASSOCIATES
Active
Other names
Carolina Hospital Authority
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M THOMAS MD PHD (C.E.O.)
(704) 582-1820
Entity
Organization
Contact information
Practice address
204 POMPANO DRIVE S.E., 18TH MEDICAL GROUP, ST. PETERSBURG, FL 33705
(704) 582-1820
(704) 919-5000
Mailing address
204 POMPANO DR SE, 18TH MDG MEDICAL GROUP, ST PETERSBURG, FL 33705-6403
(704) 582-1820
(704) 919-5000
Taxonomy
Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary
15731M
CA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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