Provider Demographics
NPI:1497856082
Name:JHEE, THOMAS S (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:JHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:S
Other - Last Name:JHEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,
Mailing Address - Street 1:6350 GLEN OAKS LN NE
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4195
Mailing Address - Country:US
Mailing Address - Phone:404-641-1322
Mailing Address - Fax:770-783-6332
Practice Address - Street 1:6350 GLEN OAKS LN NE
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4195
Practice Address - Country:US
Practice Address - Phone:404-641-1322
Practice Address - Fax:770-783-6332
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA020447208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10045469OtherAMERIGROUP
00171509DOtherPEACH STATE HEALTH PLAN
297125OtherWELLCARE
MD10045469OtherAMERIGROUP