Provider Demographics
NPI:1033303367
Name:CARLA N. THOMAS, MD & LINDA DUBOIS, CRNP
Entity Type:Organization
Organization Name:CARLA N. THOMAS, MD & LINDA DUBOIS, CRNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:NEWBERN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-237-0215
Mailing Address - Street 1:216 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5730
Mailing Address - Country:US
Mailing Address - Phone:256-237-0215
Mailing Address - Fax:256-237-0295
Practice Address - Street 1:216 E 8TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5730
Practice Address - Country:US
Practice Address - Phone:256-237-0215
Practice Address - Fax:256-237-0295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11263207Q00000X
AL1082088363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty