Individual
KARL WILLIAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32457
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32457
IA
207RP1001X
Pulmonary Disease Physician
Primary
2016-01177
NC
207RP1001X
Pulmonary Disease Physician
32457
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197087
—
IA
01
—
49227
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
01/18/2024
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