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NPI Code Detail

MEDICARE: ELIZABETH FAITH THOMAS

MEDICARE: ELIZABETH FAITH THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerT900000092246MI

General Provider Information

NPI Number : 1003732926
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH FAITH THOMAS
Provider Business Mailing Address
First Line : 9541 LONGMEADOW ST
Second Line :
City : FENTON
State : MI
Zip : 48430-8738
Country : US
Telephone Number : 810-224-8585
Fax Number :
Provider Business Practice Location Address
First Line : 9200 UNIVERSITY BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9121
Country : US
Telephone Number : 810-224-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ ELIZABETH FAITH THOMAS ” Practice Location

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