Individual
MR. HERMAN LEE THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2129 OAK LEVEL RD, HALIFAX, VA 24558
(434) 476-2256
Mailing address
PO BOX 92, VERNON HILL, VA 24597-0092
(434) 476-2256
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001175455
VA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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