Provider Demographics
NPI:1841308376
Name:APGAR, JOHN THOMAS (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:APGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1284
Mailing Address - Country:US
Mailing Address - Phone:770-622-4412
Mailing Address - Fax:770-622-4191
Practice Address - Street 1:3890 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE 320
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1284
Practice Address - Country:US
Practice Address - Phone:770-622-4412
Practice Address - Fax:770-622-4191
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA014265207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D28804Medicare UPIN
07BBSHXMedicare ID - Type Unspecified