Individual
DR. CAROLYN EDMUNDS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 323-8820
(804) 323-8539
Mailing address
PO BOX 36559, RICHMOND, VA 23235-8011
(804) 897-4250
(804) 897-0670
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101027213
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224092
ANTHEM-JAHNKE RD
VA
01
—
27826
OPTIMAHEALTH
—
Enumeration date
07/29/2005
Last updated
07/09/2007
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