Provider Demographics
NPI:1255375820
Name:MYERS, THOMAS HOWARD (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:HOWARD
Last Name:MYERS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3200 DOWNWOOD CIR NW STE 340
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1605
Mailing Address - Country:US
Mailing Address - Phone:404-352-8156
Mailing Address - Fax:404-350-9405
Practice Address - Street 1:3200 DOWNWOOD CIR NW
Practice Address - Street 2:SUITE 340
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1610
Practice Address - Country:US
Practice Address - Phone:404-352-8156
Practice Address - Fax:404-350-9405
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2008-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA053291207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA20BBFSTMedicare PIN
GAH53528Medicare UPIN