Individual
JEREMY GLENN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 LAMB CIR STE 201, CHRISTIANSBURG, VA 24073-6344
(540) 731-2328
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
363AM0700X
VA
363A00000X
Physician Assistant
Primary
0110010369
VA
Other
Enumeration date
09/03/2024
Last updated
10/29/2024
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