Individual
MR. ERNEST LOWELL THOMASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
122 JK GRAY LN, GRAY, TN 37615-3725
(423) 773-3319
Mailing address
122 JK GRAY LN, GRAY, TN 37615-3725
(423) 773-3319
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
132328
TN
246ZC0007X
Surgical Assistant
95-111
TN
Other
Enumeration date
12/05/2008
Last updated
09/02/2009
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