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Individual

DR. MICHELLE DENISE THOMAS

Active
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Individual

DR. MICHELLE DENISE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D41401
MD
2086S0102X
Surgical Critical Care Physician
073406
GA
208D00000X
General Practice Physician
0101056850
VA
208D00000X
General Practice Physician
D41401
MD
208D00000X
General Practice Physician
MD19906
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003
CAREFIRST
01
104768800
DEPT OF LABOR/FEDERAL WORKMAN'S COMP
01
3112384
AETNA HMO
05
348211100
MD
01
35198002
CAREFIRST
05
384211100
MD
01
4348841
AETNA PPO
Enumeration date
07/19/2005
Last updated
03/01/2021
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