Provider Demographics
NPI:1578145983
Name:CALLIER, THOMAS PRIER IV (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PRIER
Last Name:CALLIER
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-3490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:REYNOLDS
Practice Address - State:GA
Practice Address - Zip Code:31076-2946
Practice Address - Country:US
Practice Address - Phone:478-825-3317
Practice Address - Fax:478-825-5499
Is Sole Proprietor?:No
Enumeration Date:2021-04-25
Last Update Date:2024-09-12
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Provider Licenses
StateLicense IDTaxonomies
GA100214207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine