Fausett, Thomas D

Fausett, Thomas D is an individual health care provider with primary practice located at 707 N Parrish Ave , Adel GA 31620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fausett, Thomas D can be contacted via phone (229) 896-7007.

Contact Information

Primary practice address
707 N Parrish Ave Adel GA 31620
Fax: (229) 896-7627
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 046090 Georgia

Profile Details

NPI number 1366513210
LBN Legal business name Fausett, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 20th, 2010 - about 15 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 1366513210 NPPES
Georgia MEDICAID 00801754F

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