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Individual
DR. JERRY R. THOMAS II
Active
Individual
DR. JERRY R. THOMAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0050349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059004
AETNA HMO
MD
01
—
1073960
CIGNA
MD
01
—
202970
ANTHEM
MD
01
—
493892
NCPPO
MD
01
—
5017704
AETNA PPO
MD
05
—
699718000
—
MD
01
—
75866504
BCBS MD
MD
01
—
9450-0004
BCBS NCA
DC
01
—
P00265255
RAILROAD MEDICARE
MD
Enumeration date
02/23/2007
Last updated
10/14/2022
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