Provider Demographics
NPI:1467741801
Name:STEVEN S. THOMAS, MD, P.C.
Entity Type:Organization
Organization Name:STEVEN S. THOMAS, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:SAVASTAN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-934-7200
Mailing Address - Street 1:2185 NORTHLAKE PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4109
Mailing Address - Country:US
Mailing Address - Phone:770-934-7200
Mailing Address - Fax:770-934-7243
Practice Address - Street 1:2185 NORTHLAKE PKWY STE 104
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4109
Practice Address - Country:US
Practice Address - Phone:770-934-7200
Practice Address - Fax:770-934-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA21834207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty