Provider Demographics
NPI:1801960547
Name:GETMAN, THOMAS ALBERT (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALBERT
Last Name:GETMAN
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:PO BOX 605
Mailing Address - Street 2:209 E MAIN ST
Mailing Address - City:HAHIRA
Mailing Address - State:GA
Mailing Address - Zip Code:31632
Mailing Address - Country:US
Mailing Address - Phone:229-794-3608
Mailing Address - Fax:229-794-9147
Practice Address - Street 1:209 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HAHIRA
Practice Address - State:GA
Practice Address - Zip Code:31632-1121
Practice Address - Country:US
Practice Address - Phone:229-794-3608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA17608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00917469FMedicaid
B85423Medicare UPIN