Individual
DR. DEBRA JANINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CEDAR VALLEY DR, SUITE 3A, CEDAR BLUFF, VA 24609-9184
(276) 596-9064
(276) 596-9097
Mailing address
1100 CEDAR VALLEY DR, SUITE 3A, CEDAR BLUFF, VA 24609-9184
(276) 596-9064
(276) 596-9097
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101248544
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467754093
GROUP NPI
—
05
—
1497778559
—
VA
05
—
3810019180
—
WV
01
—
VAA110004
MEDICARE GROUP PTAN
—
01
—
VAA113140
MEDICARE INDIVIDUAL PTAN
—
Enumeration date
07/26/2006
Last updated
08/05/2013
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