Provider Demographics
NPI:1710995444
Name:ZIEGLER, THOMAS R (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1365 CLIFTON RD NE BLDG A
Mailing Address - Street 2:INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-7777
Mailing Address - Fax:404-778-5730
Practice Address - Street 1:1365 CLIFTON RD NE BLDG A
Practice Address - Street 2:INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-7777
Practice Address - Fax:404-778-5730
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA038411207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAA58570Medicare UPIN