MEDICARE: SHEILA M 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
1	207Q00000X	Family Medicine Physician	31945	MS
2	207Q00000X	Family Medicine Physician	23480	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1518965128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA M THOMAS MD

Provider Business Mailing Address
First Line	:	6005 PARK AVE
Second Line	:	728 B
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5202
Country	:	US
Telephone Number	:	901-685-2311
Fax Number	:	901-761-4062

Provider Business Practice Location Address
First Line	:	6005 PARK AVE
Second Line	:	728 B
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5202
Country	:	US
Telephone Number	:	901-685-2311
Fax Number	:	901-761-4062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/25/2023

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Directions to “ SHEILA M THOMAS MD” Practice Location

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