Individual
THOMAS MICHAEL AMBURGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
244 PEACHTREE ST, JESUP, GA 31545-0212
(912) 427-9338
Mailing address
PO BOX 745, STATESBORO, GA 30459-0745
(912) 764-6906
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
031378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031378
LICENSE
GA
Enumeration date
04/14/2006
Last updated
02/11/2014
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