| Doctor Name: | MR. ROBERT EDWARD THOMAS |
| NPI Number: | 1225015613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 101785 |
| Business Practice Address: | 6705 Wycliffe Ave Waxhaw, NC - 281730248 |
| Business Phone Number: | 7048436222 |
| Business Fax Number: | 7048436450 |
| Mailing Address: | Po Box 248, WAXHAW |
| State: | NC |
| Postal Code: | 281730248 |
| Phone Number: | 7048436222 |
| Fax Number: | 7048436450 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 02/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 101785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |