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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1861679805 NPPES
Georgia MEDICAID 864205134A

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