Dr. Evan Thomas, Llc

LBN: Dr. Evan Thomas, Llc
Dr. Evan Thomas, Llc is an health care organization with primary practice located at 2470 Windy Hill Rd Se Ste 362 , Marietta GA 30067-8613. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Dr. Evan Thomas, Llc can be contacted via phone (404) 418-8168, or through Thomas, Evan via phone (510) 566-2367.

Contact Information

Primary practice address
2470 Windy Hill Rd Se Ste 362 Marietta GA 30067-8613
Phone: (404) 418-8168
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Evan
Phone: (510) 566-2367

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X PSY003899 Georgia

Profile Details

NPI number 1851892160
LBN Legal business name Dr. Evan Thomas, Llc
DBA Doing business as
Authorized official Thomas, Evan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2018
Last updated Feb 22nd, 2018 - about 8 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 1851892160 NPPES
Georgia MEDICAID 003171129A

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