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General NPI Number Information
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NPI Number | 1245233584
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Entity Type | Individual
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Provider Name | THOMAS R. LOVAS D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 1120 15TH STREET
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W HOSPITAL RD
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City | FORT GORDON
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 706-787-7155
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 7780
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | GA 049646
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License Number State | GA
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