MEDICARE: MR. WILLIAM ARTHUR THOMAS PA-C

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	363A00000X	Physician Assistant	101648	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467436543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM ARTHUR THOMAS PA-C

Provider Business Mailing Address
First Line	:	4601 PARK RD
Second Line	:	STE 300
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3239
Country	:	US
Telephone Number	:	704-323-2237
Fax Number	:

Provider Business Practice Location Address
First Line	:	10315 HAMPTONS PARK DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7217
Country	:	US
Telephone Number	:	704-323-2800
Fax Number	:

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	12/23/2021

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