Individual
DR. GEOGY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 SUNSET TRL, JELLICO, TN 37762-2343
(423) 784-5771
(423) 784-6185
Mailing address
PO BOX 540, JELLICO, TN 37762-0540
(423) 784-8492
(423) 784-8358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34083
TN
207Q00000X
Family Medicine Physician
35929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34083
STATE LICENSE
TN
01
—
35929
STATE LICENSE
KY
05
—
3856408
—
TN
05
—
64018591
—
KY
Enumeration date
05/27/2005
Last updated
03/07/2023
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