Provider Demographics
NPI:1316003577
Name:CHAO, TOMAS J (PA)
Entity Type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:J
Last Name:CHAO
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Gender:M
Credentials:PA
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Mailing Address - Street 1:100 STONEFOREST DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-4880
Mailing Address - Country:US
Mailing Address - Phone:770-516-5199
Mailing Address - Fax:770-516-5188
Practice Address - Street 1:100 STONEFOREST DR
Practice Address - Street 2:SUITE 320
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-4880
Practice Address - Country:US
Practice Address - Phone:770-516-5199
Practice Address - Fax:770-516-5188
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2015-05-19
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Provider Licenses
StateLicense IDTaxonomies
GA3497363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical