Pantino, Thomas
Pantino, Thomas is an sole proprietor health care provider with primary practice located at 3795 Mansell Rd , Alpharetta GA 30022-8247. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pantino, Thomas can be contacted via phone (404) 785-8540.Contact Information
Primary practice address
3795 Mansell Rd
Alpharetta GA 30022-8247
Phone: (404) 785-8540
Fax: (404) 785-8574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 038904 | Georgia |
Profile Details
| NPI number | 1447217906 |
|---|---|
| LBN Legal business name | Pantino, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Nov 26th, 2013 - about 11 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 | 1447217906 | NPPES |
| Georgia | MEDICAID | 000616844 |
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