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Individual

DR. THOMAS ANTHONY BROSKY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4220 MUNDY MILL PL STE A, OAKWOOD, GA 30566-2573
(770) 536-7008
(770) 536-1550
Mailing address
4220 MUNDY MILL PL STE A, OAKWOOD, GA 30566-2573
(770) 536-7008
(770) 536-1550

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD000893
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000893
GA
213ES0131X
Foot Surgery Podiatrist
POD000893
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00893439I
GA
Enumeration date
09/13/2006
Last updated
11/01/2011
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