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Individual

MRS. GENEVIEVE BUTLER THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
(757) 873-3239
Mailing address
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
(757) 873-3239

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003398
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10118528P
OPTIMA HEALTH
VA
01
1356593578
HUMANA
VA
05
1356593578
VA
01
556060
BLUE CROSS BLUE SHIELD MEDICARE SUPPLEMENT
VA
Enumeration date
10/21/2008
Last updated
09/12/2025
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