THOMAS W BANTLY

SNELLVILLE, GA
NPI1003901422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  023013)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- THOMAS W BANTLY M.D.
1700 TREE LANE ROAD SUTIE 260
SNELLVILLE, GA 30078
Phone number: 770-736-7534
Mailing Address
-- THOMAS W BANTLY M.D.
1700 TREE LANE ROAD SUTIE 260
SNELLVILLE, GA 30078
Phone number: 770-736-7534
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