Individual
DR. TOMAS CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, HB 64, MACON, GA 31201-2102
(478) 633-2097
(478) 633-7836
Mailing address
117 MOORE RD, GRAY, GA 31032-4723
(478) 986-5114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00477221A
—
GA
Enumeration date
08/09/2006
Last updated
03/18/2009
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