Individual
DR. THOMAS LEE ZICKGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 W HOSPITAL RD, DEPARTMENT OF EMERGENCY MEDICINE, FORT GORDON, GA 30905-5741
(706) 787-2264
Mailing address
512 SUMTER CT, EVANS, GA 30809-0078
(706) 814-6988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1427
SC
207P00000X
Emergency Medicine Physician
Primary
61383
GA
Other
Enumeration date
02/11/2006
Last updated
10/04/2013
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