Search › Georgia › 363AS0400X
Ian Thomas, PA
NPI 1164006615 · on the registry since 2021
Practice
- Address
- 501 Crown Pointe Way
Lawrenceville, GA 30046 - Phone
- (404) 341-6583
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363AS0400X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia