Carico, Thomas

Carico, Thomas is an sole proprietor health care provider with primary practice located at 112 S Zetterower Ave , Statesboro GA 30458-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Carico, Thomas can be contacted via phone (912) 489-2400.

Contact Information

Primary practice address
112 S Zetterower Ave Statesboro GA 30458-4816
Phone: (912) 489-2400
Fax: (703) 991-7215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 041528 Georgia

Profile Details

NPI number 1205814175
LBN Legal business name Carico, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2006
Last updated Nov 8th, 2021 - about 3 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 1205814175 NPPES
Georgia MEDICAID 00917188A
Georgia Other 071975

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