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Individual

KAREN W THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC18645
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110232040
RR MEDICARE
SC
05
186453
SC
01
P00775524
RAILROAD MEDICARE ID-EFFECTIVE 5/11/2009
SC
Enumeration date
05/16/2006
Last updated
10/19/2015
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