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NPI Code Detail

MEDICARE: JOHNNA S. THOMAS MD

MEDICARE: JOHNNA S. THOMAS MD
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
1207Q00000XFamily Medicine Physician0101236719VA

Other Identifiers

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

General Provider Information

NPI Number : 1770588212
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNNA S. THOMAS MD
Provider Business Mailing Address
First Line : 946 N MAIN ST
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-1139
Country : US
Telephone Number : 434-372-5141
Fax Number : 434-372-8910
Provider Business Practice Location Address
First Line : 946 N MAIN ST
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-1139
Country : US
Telephone Number : 434-372-5141
Fax Number : 434-372-8910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/23/2009

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Directions to “ JOHNNA S. THOMAS MD” Practice Location

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