Provider Demographics
NPI:1699761338
Name:PHILPOT, TOMMY E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:E
Last Name:PHILPOT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1265 MILL GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-2753
Mailing Address - Country:US
Mailing Address - Phone:770-392-9505
Mailing Address - Fax:770-392-0403
Practice Address - Street 1:1265 MILL GLEN DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-2753
Practice Address - Country:US
Practice Address - Phone:770-392-9505
Practice Address - Fax:770-392-0403
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA176431835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy