Individual
DR. JOHN THOMAS ABBOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1336 HIGHWAY 54 W, BLDG 200, FAYETTEVILLE, GA 30214-4535
(770) 460-9777
(770) 460-0650
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
000224
GA
208800000X
Urology Physician
Primary
060694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864205134A
—
GA
Enumeration date
01/22/2008
Last updated
03/07/2023
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