Individual
DR. CHARMIN MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNSC,APN-BC
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
3205 CASTLEMAN ST, MEMPHIS, TN 38118-4510
(901) 794-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6900
TN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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