Individual
HALLIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7211 BANK CT, FREDERICK, MD 21703-8483
(301) 418-6611
Mailing address
1 FREDERICK HEALTH WAY, FREDERICK, MD 21701-9435
(240) 439-8910
(240) 566-7754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009963
MD
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/19/2025
Last updated
09/04/2025
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