Individual
DIANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 PHYSICIANS DR STE 105, WILMINGTON, NC 28401-7350
(910) 762-8077
Mailing address
PO BOX 43011, FAYETTEVILLE, NC 28309-3011
(910) 644-6373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009614
NC
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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