Provider Demographics
NPI:1750491783
Name:AABERG, THOMAS M (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:AABERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1365 CLIFTON RD NE # B
Mailing Address - Street 2:ROOM 4405
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-4456
Mailing Address - Fax:404-778-5128
Practice Address - Street 1:1365 CLIFTON RD NE # B
Practice Address - Street 2:ROOM 4405
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-4456
Practice Address - Fax:404-778-5128
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA30257207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D28736Medicare UPIN