Provider Demographics
NPI:1447741178
Name:THOMAS, ERIC FLYNT (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:FLYNT
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:PO BOX 1213
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31521-1213
Mailing Address - Country:US
Mailing Address - Phone:912-466-4669
Mailing Address - Fax:
Practice Address - Street 1:2500 STARLING ST STE 602
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4271
Practice Address - Country:US
Practice Address - Phone:912-466-4669
Practice Address - Fax:912-466-3580
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009943208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology