Individual
DR. ERNESTINE AUGUSTA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 204-0116
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193435
PA
2085R0202X
Diagnostic Radiology Physician
Primary
0101269873
VA
2085R0202X
Diagnostic Radiology Physician
MT193435
PA
Other
Enumeration date
07/02/2008
Last updated
09/13/2021
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