| Thomas Lifetime Health Llc | |
|
575 Professional Dr Ste 310 Lawrenceville GA 30046-3300 | |
| (678) 376-5858 | |
| (678) 376-5500 |
| Full Name | Thomas Lifetime Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 575 Professional Dr Ste 310, Lawrenceville, Georgia |
| Authorized Official Name and Position | Stephen James Parker Thomas (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4047834503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Lifetime Health Llc 575 Professional Dr Ste 310 Lawrenceville GA 30046-3300 Ph: (678) 376-5858 | Thomas Lifetime Health Llc 575 Professional Dr Ste 310 Lawrenceville GA 30046-3300 Ph: (678) 376-5858 |
| NPI Number | 1265137822 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 0840647061 |
|---|---|
| Medicare Enrollment ID | O20231109002443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265137822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen James Parker Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679528129 PECOS PAC ID: 8022030337 Enrollment ID: I20201216000987 |
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Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
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