Thomas Elliot Hersch PA-C

NPI 1093027203 - Physician Assistant - 363A00000X

NPI Details
NPI 1093027203
Gender Male
Enumeration Date 07/06/2010
Last Updated 07/12/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
1601 HARMON AVE
STE 1D03
FORT STEWART GA, 31314-5611, US
Phone (912) 435-6633
Fax (912) 435-5966
Business Location
1601 HARMON AVE
STE 1D03
FORT STEWART GA, 31314-5611, US
Phone (912) 435-6633
Fax (912) 435-5966
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mr. Thomas Elliot Hersch PA-C NPI is 1093027203, taxonomy code is 363A00000X Thomas Elliot Hersch PA-C physically located at 1601 Harmon Ave, Fort Stewart GA, 31314-5611. NPI Number Thomas Elliot Hersch PA-C has the Individual type.

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1093027203 NPI number is provided on an as is basis without warranty of any kind. 1093027203 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Elliot Hersch PA-C are for informational purposes only.