Individual
NITA SHARON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 AVIATOR CT STE 100, VANDALIA, OH 45377-9474
(937) 208-7776
Mailing address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 910-7799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.146358
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
10/21/2022
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