Provider Demographics
NPI:1649676156
Name:TOMER, AARON (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:TOMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 IVY PKWY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4241
Mailing Address - Country:US
Mailing Address - Phone:470-255-0582
Mailing Address - Fax:404-233-2910
Practice Address - Street 1:2 IVY PKWY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4241
Practice Address - Country:US
Practice Address - Phone:470-255-0582
Practice Address - Fax:404-233-2910
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA340661744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study