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NPI Code Detail

MEDICARE: CRYSTAL MARY THOMES PA-C

MEDICARE: CRYSTAL MARY THOMES 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1396439188
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MARY THOMES PA-C
Provider Business Mailing Address
First Line : 4012 MENDENHALL OAKS PKWY
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8076
Country : US
Telephone Number : 336-802-1111
Fax Number :
Provider Business Practice Location Address
First Line : 4012 MENDENHALL OAKS PKWY
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8076
Country : US
Telephone Number : 336-802-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 03/12/2026

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Directions to “ CRYSTAL MARY THOMES PA-C” Practice Location

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