Provider Demographics
NPI:1962572511
Name:SACHY, THOMAS H (MD, MSC, PC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:H
Last Name:SACHY
Suffix:
Gender:M
Credentials:MD, MSC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1726
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31032-1726
Mailing Address - Country:US
Mailing Address - Phone:478-986-0484
Mailing Address - Fax:478-986-0486
Practice Address - Street 1:247 LANA DRIVE
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032
Practice Address - Country:US
Practice Address - Phone:478-986-0484
Practice Address - Fax:478-986-0486
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA-0431202084F0202X, 2084P2900X, 208VP0000X
GAGA0431202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG65413Medicare UPIN
GA00086BBBBJMedicare ID - Type Unspecified