| Doctor Name: | PATRICIA L THOMAS |
| NPI Number: | 1023216843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CMF |
| License Number: | CMF00069 |
| Business Practice Address: | 3525 Lakeland Hills Blvd Lakeland, FL - 338051965 |
| Business Phone Number: | 8636036565 |
| Business Fax Number: | 8636036576 |
| Mailing Address: | Po Box 102101, ATLANTA |
| State: | GA |
| Postal Code: | 303682101 |
| Phone Number: | 8636036565 |
| Fax Number: | 8636036576 |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471M2300X |
| License Number: | CMF00069 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Mammography |
| Taxonomy Definition: | |