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Takao Iwano
NPI 1497108401 · on the registry since 2016
Practice
- Address
- 1550 Magnolia St
Thomasville, GA 31792 - Phone
- (660) 864-6124
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-28
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