Doctor Name: | LAUREN UZZELL THOMAS |
NPI Number: | 1114316148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0010-05481 |
Business Practice Address: | 3500 Arendell St Morehead City, NC - 285572901 |
Business Phone Number: | 2528086000 |
Business Fax Number: | |
Mailing Address: | 3701 White Dr, MOREHEAD CITY |
State: | NC |
Postal Code: | 285573054 |
Phone Number: | 9105454074 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-05481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |