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NPI Code Detail

MEDICARE: THOMAS LAND

MEDICARE: THOMAS LAND
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1780481283
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS LAND
Provider Business Mailing Address
First Line : 9449 DAYTON PIKE APT 424
Second Line :
City : SODDY DAISY
State : TN
Zip : 37379-4787
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 302 TYSON AVE STE B
Second Line :
City : PARIS
State : TN
Zip : 38242-4555
Country : US
Telephone Number : 731-407-7650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/08/2025

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Directions to “ THOMAS LAND ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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