Thomas, Mark E.

Thomas, Mark E. is an individual health care provider with primary practice located at 9390 The Landing Dr , Douglasville GA 30135-7120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thomas, Mark E. can be contacted via phone (770) 947-1112.

Contact Information

Primary practice address
9390 The Landing Dr Douglasville GA 30135-7120
Phone: (770) 947-1112
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 57599 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57599 Georgia

Profile Details

NPI number 1538190012
LBN Legal business name Thomas, Mark E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 1st, 2011 - about 13 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 1538190012 NPPES
Georgia MEDICAID 529328395B
Georgia Other P00333870
Georgia MEDICAID 529328395A

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