THOMAS J FEDERICO

WOODSTOCK, GA
NPI1114035243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  065543)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME0047275)
Enumeration Date2006-08-28
Last Update Date2012-11-26
Business Address
Dr. THOMAS J FEDERICO MD
310 GOLD CREEK TRL SUITE 100
WOODSTOCK, GA 30188-5435
Phone number: 770-926-9495
Mailing Address
Dr. THOMAS J FEDERICO MD
104 GOLD SPRINGS CT
CANTON, GA 30114-6333
Phone number: 407-697-4345