Individual
LARRY THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
594 CLEVELAND ST, MACON, GA 31206-1561
(478) 719-9995
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9500
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/20/2019
Last updated
10/05/2022
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