Organization
DR. THOMAS R FITZSIMMONS MD PC
Active
Other names
Thomas R Fitzsimmons MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R. FITZSIMMONS M.D. (CEO/OWNER)
(770) 997-5347
Entity
Organization
Contact information
Practice address
1215 EAGLES LANDING PARKWAY, SUITE 105, STOCKBRIDGE, GA 30281
(770) 997-5347
(678) 289-0191
Mailing address
1215 EAGLES LANDING PARKWAY, SUITE 105, STOCKBRIDGE, GA 30281
(770) 997-5347
(678) 289-0191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
056566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783252541C
—
GA
Enumeration date
12/12/2012
Last updated
09/14/2020
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