Individual
DR. THOMAS PATRICK LOUMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
Mailing address
PO BOX 1334, JESUP, GA 31598-1334
(912) 427-0800
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
072774
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151448A
—
GA
01
—
202I201856
MCR PTAN
GA
Enumeration date
11/05/2007
Last updated
01/14/2017
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