Abbott, John Thomas
Abbott, John Thomas is an individual health care provider with primary practice located at 1336 Highway 54 W Bldg 200, Fayetteville GA 30214-4535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Abbott, John Thomas can be contacted via phone (770) 460-9777.Contact Information
Primary practice address
1336 Highway 54 W Bldg 200
Fayetteville GA 30214-4535
Phone: (770) 460-9777
Fax: (770) 460-0650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 000224 | Georgia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 060694 | Georgia |
Profile Details
| NPI number | 1861679805 |
|---|---|
| LBN Legal business name | Abbott, John Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1861679805 | NPPES |
| Georgia | MEDICAID | 864205134A |
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