Individual
DEBRA ANN GRAY THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
MEDICAL CENTER BLVD, 10 BRENNER TOWER, WINSTON SALEM, NC 27157-0001
(336) 713-2255
(336) 713-2242
Mailing address
4207 FRIEDBERG CHURCH RD, CLEMMONS, NC 27012-6875
(336) 764-5444
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
130213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003643
—
NC
Enumeration date
11/11/2005
Last updated
09/06/2013
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