Search › Georgia › 208600000X

Tom Willis, M.D

NPI 1851428056 · on the registry since 2007 · sole proprietor

Practice

Address
F L T C 1131 Chapel Crossing Rd
Brunswick, GA 31524
Phone
(912) 280-5307
Fax
(912) 267-3196

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia