Provider Demographics
NPI:1033464409
Name:SANDRA THOMAS HEALTH CARE INC.
Entity Type:Organization
Organization Name:SANDRA THOMAS HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-590-3477
Mailing Address - Street 1:1643 MOUNT VERNON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4231
Mailing Address - Country:US
Mailing Address - Phone:770-383-1228
Mailing Address - Fax:678-550-7675
Practice Address - Street 1:2150 PEACHFORD RD
Practice Address - Street 2:SUITE A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6521
Practice Address - Country:US
Practice Address - Phone:770-383-1228
Practice Address - Fax:678-550-7675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA664292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty