Individual
DR. THOMAS R MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.PC
Contact information
Practice address
118 NORMAN DORMINY DRIVE, FITZGERALD, GA 31750
(229) 424-0134
(229) 424-9383
Mailing address
118 NORMAN DORMINY DR, FITZGERALD, GA 31750-8858
(229) 423-9561
(229) 424-7097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA37607
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000617251A
—
GA
Enumeration date
10/13/2006
Last updated
02/02/2022
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