MEDICARE: GEORGE G THOMAS MD

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	207Q00000X	Family Medicine Physician	00011533	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51516415	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	15111572	OTHER	AL	BCBS
5	51516412	OTHER	AL	BCBS
6	51516423	OTHER	AL	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	P00044366	OTHER	AL	RAILROAD
10	51516346	OTHER	AL	BCBS
11	51516416	OTHER	AL	BCBS
12	51524616	OTHER	AL	BCBS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972526614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE G THOMAS MD

Provider Business Mailing Address
First Line	:	PO BOX 70365
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36107-0365
Country	:	US
Telephone Number	:	334-420-5038
Fax Number	:	334-420-0158

Provider Business Practice Location Address
First Line	:	100 OAK STREET
Second Line	:
City	:	HAYNEVILLE
State	:	AL
Zip	:	36040
Country	:	US
Telephone Number	:	334-548-2516
Fax Number	:	334-548-2521

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/08/2023

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Directions to “ GEORGE G THOMAS MD” Practice Location

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