Individual
MRS. CANDACE DANIELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1998 HENDERSONVILLE RD STE 53, ASHEVILLE, NC 28803-2192
(828) 585-5489
(855) 308-2340
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3325
TN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023534401
—
NC
01
—
20D34
BCBS NC
NC
01
—
NNE256A
MEDICARE
NC
01
—
P02580824
RAILROAD MEDICARE
NC
Enumeration date
08/17/2017
Last updated
09/11/2024
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