Individual
JEFFREY THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPO CO
Contact information
Practice address
1399 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 768-1933
Mailing address
1399 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 768-1933
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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