Merritt, Thomas

Merritt, Thomas is an individual health care provider with primary practice located at 2121A Bellevue Rd , Dublin GA 31021-2998. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Merritt, Thomas can be contacted via phone (478) 272-1190.

Contact Information

Primary practice address
2121A Bellevue Rd Dublin GA 31021-2998
Phone: (478) 272-1190
Fax: (478) 274-7628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X GA010615 Georgia

Profile Details

NPI number 1548245988
LBN Legal business name Merritt, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 10th, 2014 - about 10 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 1548245988 NPPES
Georgia MEDICAID 300030912A
Georgia MEDICAID 1689657637
Georgia Other 582109771

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