MEDICARE: DR. DENISE CRYSTAL THOMAS DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC006010	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	553	NC
3	213EP1101X	Primary Podiatric Medicine Podiatrist	553	NC

General Provider Information

NPI Number	:	1437313194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE CRYSTAL THOMAS DPM

Provider Business Mailing Address
First Line	:	1738 METROMEDICAL DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3861
Country	:	US
Telephone Number	:	910-484-4191
Fax Number	:	910-484-5546

Provider Business Practice Location Address
First Line	:	1738 METROMEDICAL DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3861
Country	:	US
Telephone Number	:	910-484-4191
Fax Number	:	910-484-5546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	05/15/2026

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Directions to “ DR. DENISE CRYSTAL THOMAS DPM” Practice Location

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