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NPI 1649382342

NPI 1649382342 : THOMAS A. SORBERA M.D. : STATESBORO, GA

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General NPI Number Information
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    NPI Number           |    1649382342
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS A. SORBERA M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    02/09/2026
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Provider Practice Location Address
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    Address Line         |    1497 FAIR RD STE 102 
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    City                 |    STATESBORO
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    State                |    GA
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    Zip                  |    30458-0823
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    Country              |    US
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    Telephone            |    912-764-9001
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    Fax                  |    912-764-3166
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Provider Business Mailing Address
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    Address Line         |    PO BOX 689022 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37068-9022
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    Country              |    US
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    Telephone            |    615-465-7211
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    Fax                  |    615-628-6877
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    A74942
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    License Number State |    CA
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