Healthcare Provider Details

I. General information

NPI: 1134253552
Provider Name (Legal Business Name): JOYCE THOMAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SUNSET DR SUITE 105
ATHENS GA
30606-2293
US

IV. Provider business mailing address

700 SUNSET DR SUITE 105
ATHENS GA
30606-2293
US

V. Phone/Fax

Practice location:
  • Phone: 706-543-3400
  • Fax: 706-543-6191
Mailing address:
  • Phone: 706-543-3400
  • Fax: 706-543-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number021353
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number021353
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number021353
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number021353
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: