Individual
COLTON RYAN THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
115 COLLEGE ST, CLARKSVILLE, VA 23927-9125
(434) 374-5344
Mailing address
115 COLLEGE ST, CLARKSVILLE, VA 23927-9125
(434) 374-5344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182554
VA
Other
Enumeration date
09/14/2021
Last updated
12/06/2021
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