MEDICARE: DR. THOMAS L. DOPSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	025145	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861489551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS L. DOPSON M.D.

Provider Business Mailing Address
First Line	:	5671 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE 900
City	:	ATLANTA
State	:	GA
Zip	:	30342-5000
Country	:	US
Telephone Number	:	404-847-9999
Fax Number	:	404-531-8466

Provider Business Practice Location Address
First Line	:	5671 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE 900
City	:	ATLANTA
State	:	GA
Zip	:	30342-5000
Country	:	US
Telephone Number	:	404-847-9999
Fax Number	:	404-531-8466

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	11/13/2008

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