Provider Demographics
NPI:1093410979
Name:THOMAS MEDICAL GROUP AND HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:THOMAS MEDICAL GROUP AND HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-962-9310
Mailing Address - Street 1:620 LENOX AVE APT 12J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1207
Mailing Address - Country:US
Mailing Address - Phone:828-962-9310
Mailing Address - Fax:
Practice Address - Street 1:620 LENOX AVE APT 12J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1207
Practice Address - Country:US
Practice Address - Phone:828-962-9310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty