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Individual

CARRIE I THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 22033-1756
(703) 429-2109
(703) 259-6324

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110005312
VA

Other

Enumeration date
04/12/2016
Last updated
02/20/2020
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