NPI 1003901422

Thomas W Bantly, MD

Practitioner Psychiatry Physician Snellville, GA

Practice location

Address: 1700 Tree Lane Road Sutie 260, Snellville, GA 30078
Phone: (770) 736-7534
Fax: (770) 736-8627

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 023013 (GA)

Other Psychiatry & Neurology providers in Georgia →

Registry record

NPI: 1003901422
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.