Provider Demographics
NPI:1972898476
Name:THOMAE, PATRICK MAURICE (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:MAURICE
Last Name:THOMAE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5285
Mailing Address - Country:US
Mailing Address - Phone:706-627-1360
Mailing Address - Fax:
Practice Address - Street 1:1205 TOWN PARK LN
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3481
Practice Address - Country:US
Practice Address - Phone:706-868-3100
Practice Address - Fax:706-228-3125
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA686252083A0100X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine