NPI | 1609820745 |
---|---|
Doing Business As | SOREN S THOMAS MD |
Entity Type | Organization |
Authorized Contact | SOREN THOMAS Owner 770-458-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: GA 026895) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2008-02-25 |