Organization
SANDRA THOMAS
Active
Other names
THOMAS FAMILY CENTER FOR DIABETES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA F. THOMAS CNS (FNP)
(601) 672-7835
Entity
Organization
Contact information
Practice address
6021 CHANNEL 16 WAY, JACKSON, MS 39209-9676
(601) 672-7835
(601) 346-7133
Mailing address
6021 CHANNEL 16 WAY, JACKSON, MS 39209-9676
(601) 672-7835
(601) 346-7133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R772161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125877
—
MS
Enumeration date
10/10/2008
Last updated
10/10/2008
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