Healthcare Provider Details

I. General information

NPI: 1942596390
Provider Name (Legal Business Name): THOMAS DEMPSEY D.V.M., M.A.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 06/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 SANDY SPRINGS PL NE
SANDY SPRINGS GA
30328-3812
US

IV. Provider business mailing address

228 SANDY SPRINGS PL NE
SANDY SPRINGS GA
30328-3812
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-7881
  • Fax: 404-252-7919
Mailing address:
  • Phone: 404-252-7881
  • Fax: 404-252-7919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5443
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: