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Individual

ALEXANDRA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32534
IA
207RH0003X
Hematology & Oncology Physician
Primary
2016-01429
NC
207RH0003X
Hematology & Oncology Physician
32534
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1172874
IA
01
29587
WELLMARK BCBS
IA
Enumeration date
10/07/2005
Last updated
08/17/2016
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