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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205814175 | NPPES |
| Georgia | MEDICAID | 00917188A | |
| Georgia | Other | 071975 |
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