Individual
TONYA WILLIAMS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 KIRBY WHITTEN RD, 102D, BARTLETT, TN 38134-2853
(901) 515-7701
Mailing address
7849 CRESCENT HILL DR APT 307, MEMPHIS, TN 38133-8011
(901) 729-7289
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
800153126
MS
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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