Individual provider · Type 1 NPI

Thomas Lewis Sistrunk, MD

Diagnostic Radiology Physician · Carrollton, GA

NPI number 1063486843 Active

Practice location

705 Dixie St
Carrollton, GA 30117-3818

Fax (770) 812-5028

Mailing address

119 Maple St, Suite 205
Carrollton, GA 30117-3230

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X019424 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1063486843

Thomas Lewis Sistrunk, MD's National Provider Identifier is 1063486843, issued on Feb 16, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Carrollton, GA. The record was last updated on Jan 28, 2011.