Dr. Eddie D. Thomas, M.D.,P.C.

LBN: Dr. Eddie D. Thomas, M.D.,P.C.
Dr. Eddie D. Thomas, M.D.,P.C. is an health care organization with primary practice located at 391 Peachtree St , Jesup GA 31545-0245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dr. Eddie D. Thomas, M.D.,P.C. can be contacted via phone (912) 530-7337, or through Medlock, Kandie R via phone (912) 530-7337.

Contact Information

Primary practice address
391 Peachtree St Jesup GA 31545-0245
Phone: (912) 530-7337
Fax: (912) 530-7339
Website:
Map and Directions
Authorized official contact:
Name: Medlock, Kandie R
Phone: (912) 530-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 053192 Georgia

Profile Details

NPI number 1851800791
LBN Legal business name Dr. Eddie D. Thomas, M.D.,P.C.
DBA Doing business as Dr. Eddie D. Thomas, M.D.,P.C.
Authorized official Medlock, Kandie R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851800791 NPPES
Georgia MEDICAID 798956032A
Georgia Other 10059181
Georgia Other 342408

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