Individual
DR. GEORGE WALTER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 330-2154
Mailing address
PO BOX 36559, RICHMOND, VA 23235-8011
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101025409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224100
ANTHEM-JOHNSTON-WILLIS DR
VA
01
—
30089
OPTIMAHEALTH
—
Enumeration date
07/29/2005
Last updated
08/10/2007
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