Individual
JAMES RANDALL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BRECKENRIDGE ST STE 302, OWENSBORO, KY 42303-0877
(270) 688-3445
(270) 688-3444
Mailing address
1000 BRECKENRIDGE ST STE 302, OWENSBORO, KY 42303-0877
(270) 688-3445
(270) 688-3444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
49480
GA
207RH0003X
Hematology & Oncology Physician
Primary
43862
KY
207RH0003X
Hematology & Oncology Physician
TP385
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00888874A
—
GA
Enumeration date
05/24/2005
Last updated
11/10/2020
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