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Individual

DR. BENJAMIN FRANKLIN THOMAS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2311 LAKE PARK DRIVE, ALBANY, GA 31707
(334) 749-8303
(334) 745-5243
Mailing address
PO BOX 71367, ALBANY, GA 31708-1367
(229) 435-0525
(229) 434-9827

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
00008758
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000032695
AL
05
000035558
AL
05
000098572
AL
01
51032695THO
BLUE CROSS & BLUE SHIELD
AL
01
51035558THO
BLUE CROSS & BLUE SHIELD
AL
01
51098572THO
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
05/17/2006
Last updated
12/22/2009
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