Individual
RHETA MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
300 RAWLS DR STE 1200, MCCOMB, MS 39648-2863
(601) 249-4710
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903252
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781809
—
MS
Enumeration date
03/11/2019
Last updated
09/15/2021
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