Organization
THOMAS J. DEMARCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J. DEMARCO, M.D. M.D. (OWNER)
(770) 432-5326
Entity
Organization
Contact information
Practice address
3969 S COBB DR SE STE 202, SMYRNA, GA 30080-6317
(770) 432-5326
(770) 432-5740
Mailing address
3969 S COBB DR SE STE 202, SMYRNA, GA 30080-6317
(770) 432-5326
(770) 432-5740
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
32718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10BDBCW
MEDICARE PROVIDER NUMBER
GA
01
—
GRP4756
GROUP NUMBER
GA
Enumeration date
09/27/2007
Last updated
06/15/2019
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