| Doctor Name: | KAMISHIA LATASHA THOMAS |
| NPI Number: | 1003241308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-C |
| License Number: | 5006446 |
| Business Practice Address: | 1001 Blythe Blvd Suite 300- Adult Cardiology Charlotte, NC - 282035866 |
| Business Phone Number: | 7043730212 |
| Business Fax Number: | 7043731216 |
| Mailing Address: | Po Box 601067, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601067 |
| Phone Number: | 7043730212 |
| Fax Number: | 7043731216 |
| NPI Enumeration Date: | 09/05/2013 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5006446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |