Clower, Thomas Barry
Clower, Thomas Barry is an sole proprietor health care provider with primary practice located at 1595 Mulkey Rd , Austell GA 30106-1111. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Clower, Thomas Barry can be contacted via phone (770) 948-1000.Contact Information
Primary practice address
1595 Mulkey Rd
Austell GA 30106-1111
Phone: (770) 948-1000
Fax: (770) 948-4699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 9626 | Georgia |
Profile Details
NPI number | 1437339017 |
---|---|
LBN Legal business name | Clower, Thomas Barry |
Credentials | D.M.D,P.C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 12th, 2007 |
Last updated | Nov 12th, 2007 - about 17 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 | 1437339017 | NPPES |
Georgia | MEDICAID | 9180674 |
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