Provider Demographics
NPI:1093033227
Name:THOMAS, GEORGE W JR (RRT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:W
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 THOMAS CIR
Mailing Address - Street 2:
Mailing Address - City:BOX SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31801-8440
Mailing Address - Country:US
Mailing Address - Phone:678-778-6541
Mailing Address - Fax:
Practice Address - Street 1:1901 THOMAS CIR
Practice Address - Street 2:
Practice Address - City:BOX SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31801-8440
Practice Address - Country:US
Practice Address - Phone:678-778-6541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001351227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered