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Individual

MRS. DEBORAH B THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN197183
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
16728
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16728
APN LICENSE
TN
Enumeration date
02/16/2011
Last updated
07/09/2012
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