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Individual

DR. SHELTON WAYNE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7611 FOREST AVE, SUITE 100, RICHMOND, VA 23229-4946
(804) 288-4827
(804) 288-4494
Mailing address
8001 FRANKLIN FARMS DR, SUITE 130, RICHMOND, VA 23229-5108
(804) 521-5800
(804) 545-4340

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101036465
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101036465
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10062551
VA
01
103768
ANTHEM/VA HEALTHKEEPERS
VA
01
1450015
CIGNA
VA
01
232204
ANTHEM/VA HEALTHKEEPERS
VA
01
265969
MAMSI
VA
01
27413300
FEDERAL BLACK LUNG
VA
01
276210
ANTHEM/VA HEALTHKEEPERS
VA
01
276239
ANTHEM/VA HEALTHKEEPERS
VA
01
276281
ANTHEM/VA HEALTHKEEPERS
VA
01
276307
ANTHEM/VA HEALTHKEEPERS
VA
01
276366
ANTHEM/VA HEALTHKEEPERS
VA
01
4063827
AETNA/US HEALTHCARE
VA
01
44230
SENTARA HEALTH/OPTIMA
VA
01
530871
AETNA/US HEALTHCARE HMO
VA
05
5810876
VA
01
60047242
RAILROAD MEDICARE
VA
01
80869
SOUTHERN HEALTH SERVICES
VA
Enumeration date
07/24/2006
Last updated
07/09/2014
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