Individual
JOHN ANDREW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-8190
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27155-0001
(336) 716-2255
(336) 716-8190
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9801090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10063591
—
VA
01
—
1057T
BCBS
—
01
—
26100
PARTNERS
—
05
—
3810000227
—
WV
01
—
4099105
AETNA
—
05
—
891057T
—
NC
01
—
D3441
MEDCOST
—
05
—
Q0109A
—
SC
Enumeration date
12/14/2005
Last updated
07/03/2013
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