Individual
JASON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-2231
(252) 451-3411
Mailing address
935 SHOTWELL RD STE 108, CLAYTON, NC 27520-5598
(919) 359-2667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-07720
NC
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
01/28/2017
Last updated
02/26/2018
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