THOMAS L SHOUP

TIFTON, GA
NPI1053420620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  1319)
Enumeration Date2006-08-29
Last Update Date2020-12-01
Business Address
THOMAS L SHOUP PAC
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-353-6051
Mailing Address
THOMAS L SHOUP PAC
907 18TH ST E SUITE 150
TIFTON, GA 31794-3643
Phone number: 229-353-6051
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