Thomas Lewis Sistrunk M.D.

NPI 1063486843 - Radiology - 2085R0202X

NPI Details
NPI 1063486843
Gender Male
Enumeration Date 02/16/2006
Last Updated 01/28/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
705 DIXIE ST
CARROLLTON GA, 30117-3818, US
Phone (770) 836-9660
Fax (770) 812-5028
Business Location
119 MAPLE ST
SUITE 205
CARROLLTON GA, 30117-3230, US
Phone (770) 831-0751
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Georgia
License Number 019424
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According to our database, Dr. Thomas Lewis Sistrunk M.D. NPI is 1063486843, taxonomy code is 2085R0202X and license number is 019424, license state is located at Georgia. Thomas Lewis Sistrunk M.D. physically located at 705 Dixie St, Carrollton GA, 30117-3818. NPI Number Thomas Lewis Sistrunk M.D. has the Individual type.

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1063486843 NPI number is provided on an as is basis without warranty of any kind. 1063486843 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Lewis Sistrunk M.D. are for informational purposes only.