Provider Demographics
NPI:1346307964
Name:PARENT, THOMAS E (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:PARENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 LAKE OCONEE PKWY STE 110-61
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-6433
Mailing Address - Country:US
Mailing Address - Phone:706-341-4886
Mailing Address - Fax:706-932-8222
Practice Address - Street 1:1000 COWLES CLINIC WAY STE C-300
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-5288
Practice Address - Country:US
Practice Address - Phone:706-341-4886
Practice Address - Fax:706-932-8222
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79356207X00000X
GA95058207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35695OtherBC BS
FL200039106OtherRRMC
GAP02737912OtherRRMDC
FL35695OtherBC BS
FL35695ZMedicare PIN