Individual
DR. BYRON SHANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100173150
—
KY
Enumeration date
07/03/2008
Last updated
01/04/2012
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