Individual
DR. JASON JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3708
(252) 209-3709
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3708
(252) 209-3709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NC
208M00000X
Hospitalist Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407N
BCBS
NC
01
—
187401
MEDCOST
NC
05
—
5902570
—
NC
01
—
PIN P00349757
RR MEDICARE
NC
Enumeration date
04/10/2006
Last updated
10/11/2007
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