| Thomas J. Demarco | |
|
3969 S Cobb Dr Se Ste 202 Smyrna GA 30080-6317 | |
| (770) 432-5326 | |
| (770) 432-5740 |
| Full Name | Thomas J. Demarco |
|---|---|
| Speciality | Internal Medicine |
| Location | 3969 S Cobb Dr Se Ste 202, Smyrna, Georgia |
| Authorized Official Name and Position | Thomas J. Demarco, M.d. (OWNER) |
| Authorized Official Contact | 7704325326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Demarco 3969 S Cobb Dr Se Ste 202 Smyrna GA 30080-6317 Ph: (770) 432-5326 | Thomas J. Demarco 3969 S Cobb Dr Se Ste 202 Smyrna GA 30080-6317 Ph: (770) 432-5326 |
| NPI Number | 1922295617 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 06/15/2019 |
| Medicare PECOS PAC ID | 2769477751 |
|---|---|
| Medicare Enrollment ID | O20040419000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922295617 | NPI | - | NPPES |
| 10BDBCW | Other | GA | MEDICARE PROVIDER NUMBER |
| GRP4756 | Other | GA | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 32718 (Georgia) | Primary |
| Provider Name | Thomas John Demarco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093825846 PECOS PAC ID: 3971555129 Enrollment ID: I20110223000959 |
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