Individual
HAILEY MACKENSIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27517-0001
(910) 893-1210
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2023
Last updated
09/21/2023
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