Varughese, Thomas C
Varughese, Thomas C is an sole proprietor health care provider with primary practice located at 6130 Prestley Mill Rd Ste B , Douglasville GA 30134-2288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Varughese, Thomas C can be contacted via phone (770) 771-5100.Contact Information
Primary practice address
6130 Prestley Mill Rd Ste B
Douglasville GA 30134-2288
Phone: (770) 771-5100
Fax: (770) 771-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 045998 | Georgia |
Profile Details
| NPI number | 1720138597 |
|---|---|
| LBN Legal business name | Varughese, Thomas C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 1st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720138597 | NPPES |
| Georgia | MEDICAID | 000831553C |
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