Provider Demographics
NPI:1124212881
Name:THOMAS, NAVEEN C (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEEN
Middle Name:C
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 TERRELL MILL RD SE # 205
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5496
Mailing Address - Country:US
Mailing Address - Phone:678-459-5493
Mailing Address - Fax:
Practice Address - Street 1:950 SCALES RD
Practice Address - Street 2:SUITE #302
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4340
Practice Address - Country:US
Practice Address - Phone:404-994-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2003014212084P0800X
GA642852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry