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Individual

ANITA J THOMAS

Active
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Individual

ANITA J THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
2003-01299
NC
2085N0904X
Nuclear Radiology Physician
2003-01299
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023216298
VA
01
147F3
BCBS
01
202778
MEDCOST
05
3810009875
WV
01
5377406
AETNA
01
812203
PARTNERS
05
8906277
NC
05
Q01299
SC
Enumeration date
07/10/2007
Last updated
10/08/2010
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