THOMAS SHOUP, PAC

Physician Assistant

Active Individual
NPI: 1053420620

Practice Address

901 18TH ST E
Tifton, GA 31794

Phone: (229) 353-6051

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 1319 (GA)

Frequently Asked Questions

NPI 1053420620 is the National Provider Identifier for THOMAS SHOUP, PAC, a Physician Assistant provider located in Tifton, GA. This NPI was enumerated on August 29, 2006.
THOMAS SHOUP, PAC practices at 901 18TH ST E, Tifton, GA 31794.

Quick Facts

NPI
1053420620
Type
Individual
Enumerated
Aug 29, 2006
Last Updated
Dec 1, 2020

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