Individual
TONYA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 CAPITAL BLVD, RALEIGH, NC 27604-4478
(919) 980-7008
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00465300
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
5015852
NC
363LA2200X
Adult Health Nurse Practitioner
SP013014
PA
Other
Enumeration date
12/23/2013
Last updated
11/17/2022
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