Organization Name: | CARLA N. THOMAS, MD & LINDA DUBOIS, CRNP |
NPI Number: | 1033303367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLA NEWBERN THOMAS (OWNER) |
Mailing Address: | 216 E 8th St Anniston |
State: | AL US |
Postal Code: | 362075730 |
Phone Number: | 2562370215 |
Fax Number: | 2562370295 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 1082088 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |