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NPI Code Detail

MEDICARE: ALSTON THOMAS

MEDICARE: ALSTON 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1992504450
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALSTON THOMAS
Provider Business Mailing Address
First Line : 105 SUNNY WAY
Second Line :
City : BURNS
State : TN
Zip : 37029-9800
Country : US
Telephone Number : 931-619-9723
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 : 931-619-9723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/10/2025

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Directions to “ ALSTON THOMAS ” Practice Location

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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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