Organization
PHILIP R THOMAS MD., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP R THOMAS (PHYSICIAN)
(757) 255-4224
Entity
Organization
Contact information
Practice address
112 KINGS HWY, SUFFOLK, VA 23432-1117
(757) 255-4224
(757) 255-4124
Mailing address
112 KINGS HWY, PO BOX 2068, SUFFOLK, VA 23432-1117
(757) 255-4224
(757) 255-4124
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0101011438
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178791
ATHEM
VA
05
—
5613311
—
VA
Enumeration date
11/25/2009
Last updated
11/25/2009
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