Individual
TARLAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 STACY DR, MACON, GA 31204-5646
(678) 592-0158
Mailing address
3800 STACY DRIVE, MACON, GA 31204
(678) 592-0158
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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