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General NPI Number Information
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NPI Number | 1811935778
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Entity Type | Individual
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Provider Name | JEFFREY A THOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 355 CLEAR CREEK PKWY STE 2007
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City | LAVONIA
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State | GA
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Zip | 30553-4271
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Country | US
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Telephone | 706-356-2934
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Fax | 706-356-8037
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Provider Business Mailing Address
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Address Line | 3320 OLD JEFFERSON RD BLDG 800
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City | ATHENS
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State | GA
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Zip | 30607-1400
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Country | US
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Telephone | 706-353-2990
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Fax | 706-353-2992
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 040262
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License Number State | GA
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