Individual
DR. RICHARD WALLACE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6B CRAGER CT, GARDEN CITY, GA 31408-1314
(912) 856-1363
Mailing address
6B CRAGER CT, GARDEN CITY, GA 31408-1314
(912) 856-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47608
OH
207Q00000X
Family Medicine Physician
Primary
59520
GA
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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