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1659799757
CLIFTON BLAYNE THOMAS
MOULTRIE, GA
NPI
1659799757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 074921)
Enumeration Date
2014-04-04
Last Update Date
2024-11-20
Business Address
Dr. CLIFTON BLAYNE THOMAS M.D.
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-502-9782
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Mailing Address
Dr. CLIFTON BLAYNE THOMAS M.D.
PO BOX 70
VALDOSTA, GA 31603-0070
Phone number: 229-433-8200
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