Unknown Individual – Specialist, NPI 1033174875
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
110, Joyner Drive, Thomaston, Upson County, Georgia, 30286, United States
THOMASTON, GA 302864064
Phone: (706) 647-6255
Type: Mailing
403, West Main Street, Thomaston, Upson County, Georgia, 30286, United States
THOMASTON, GA 302863503
Phone: (706) 646-2888
Fax: (706) 646-4004
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30286)
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