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NPI Code Detail

MEDICARE: WILLIAM HEATH THOMAS CRNA

MEDICARE: WILLIAM HEATH THOMAS CRNA
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
1367500000XCertified Registered Nurse Anesthetist884028MS

General Provider Information

NPI Number : 1154651461
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM HEATH THOMAS CRNA
Provider Business Mailing Address
First Line : 6860 J O THOMAS RD
Second Line :
City : TOOMSUBA
State : MS
Zip : 39364-9662
Country : US
Telephone Number : 601-507-6111
Fax Number :
Provider Business Practice Location Address
First Line : 3414 PEACHTREE RD NE STE 340
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1137
Country : US
Telephone Number : 800-691-3424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2010
Last Update Date : 04/16/2026

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Directions to “ WILLIAM HEATH THOMAS CRNA” Practice Location

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