Doctor Name: | ASHLEE MARIE THOMAS |
NPI Number: | 1093086233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 1508 |
Business Practice Address: | 379 Stanaford Road Beckley, WV - 258013141 |
Business Phone Number: | 3042533000 |
Business Fax Number: | 3042557884 |
Mailing Address: | 502 Main Street West, OAK HILL |
State: | WV |
Postal Code: | 259013416 |
Phone Number: | 3044651030 |
Fax Number: | 3044699811 |
NPI Enumeration Date: | 01/19/2012 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |