Individual
DR. THOMAS L SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 258-0440
(937) 258-6203
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 258-0440
(937) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
4117
OH
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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