Mackean, Thomas Alexandeer

Mackean, Thomas Alexandeer is an sole proprietor health care provider with primary practice located at 704 Gil Harbin Industrial Blvd , Valdosta GA 31601-6513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mackean, Thomas Alexandeer can be contacted via phone (229) 242-9003.

Contact Information

Primary practice address
704 Gil Harbin Industrial Blvd Valdosta GA 31601-6513
Phone: (229) 242-9003
Fax: (229) 242-0490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN146046 Georgia

Profile Details

NPI number 1356318265
LBN Legal business name Mackean, Thomas Alexandeer
Credentials FNPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Apr 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356318265 NPPES
Georgia MEDICAID 618616123A

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