| Dr. Tom Llc | |
|
5431 Old Highway 5 Ste 206 Holly Springs GA 30188 | |
| (470) 785-3138 | |
| Not Available |
| Full Name | Dr. Tom Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5431 Old Highway 5 Ste 206, Holly Springs, Georgia |
| Authorized Official Name and Position | Thomas Lagree (OWNER) |
| Authorized Official Contact | 7162007131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tom Llc 5431 Old Highway 5 Ste 206 Holly Springs GA 30188 Ph: (470) 785-3138 | Dr. Tom Llc 5431 Old Highway 5 Ste 206 Holly Springs GA 30188 Ph: (470) 785-3138 |
| NPI Number | 1881224897 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881224897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |