Individual
DR. THOMAS MIDDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(678) 272-3699
(770) 290-8084
Mailing address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(678) 272-3699
(770) 290-8084
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
86211
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
07/19/2022
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