Thomas Lewis Sistrunk in Carrollton - Diagnostic Radiology
Thomas Lewis Sistrunk - NPI 1063486843
Thomas Lewis Sistrunk is a Diagnostic Radiology in Carrollton, Georgia. Thomas Lewis Sistrunk practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Thomas Lewis Sistrunk is 1063486843. The last update date is 2011-01-28.
Thomas Lewis Sistrunk's current location address is 705 Dixie St, Carrollton, Georgia. You can contact this provider via phone number 7708369660 and fax number 7708125028. The mailing address for Thomas Lewis Sistrunk is 705 Dixie St, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Lewis Sistrunk |
|---|---|
| Address | 705 Dixie St, Carrollton, Georgia |
| Phone Number | 7708369660 |
| Fax Number | 7708125028 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063486843 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2011-01-28 |
Provider Mailing Address Detail
| Address | 705 Dixie St |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301173818 |
| Phone Number | 7708369660 |
| Fax Number | 7708125028 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 19424 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000229567B | GA | -- | |
| 28143 | GA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Thomas Lewis Sistrunk by the Centers for Medicare & Medicaid Services?
The Thomas Lewis Sistrunk has been assigned the NPI (National Provider Identifier) 1063486843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Thomas Lewis Sistrunk?
The Thomas Lewis Sistrunk is situated at 705 Dixie St, in the city of Carrollton, state of GA, with the zip code 301173818.
What is Thomas Lewis Sistrunk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thomas Lewis Sistrunk is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063486843 to Thomas Lewis Sistrunk?
The Thomas Lewis Sistrunk received its 1063486843 assignment from the Centers for Medicare & Medicaid Services on 2006-02-16.
When was the information related to Thomas Lewis Sistrunk most recently updated or refreshed?
The details pertaining to the Thomas Lewis Sistrunk, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-28.
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