Provider Demographics
NPI:1073228573
Name:THOMAS, JANACEE ALEXIS (PA-C)
Entity Type:Individual
Prefix:
First Name:JANACEE
Middle Name:ALEXIS
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2815 RESERVE CT
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2134
Mailing Address - Country:US
Mailing Address - Phone:404-694-8104
Mailing Address - Fax:
Practice Address - Street 1:833 PRINCETON AVE SW STE 200F
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1321
Practice Address - Country:US
Practice Address - Phone:205-786-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical