Provider Demographics
NPI:1467754093
Name:DEBRA J. THOMAS, M.D., PC
Entity Type:Organization
Organization Name:DEBRA J. THOMAS, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-596-9064
Mailing Address - Street 1:6719 GOV. G.C. PEERY HWY
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-2197
Mailing Address - Country:US
Mailing Address - Phone:276-596-9064
Mailing Address - Fax:
Practice Address - Street 1:6719 GOVERNOR GC PEERY HWY
Practice Address - Street 2:SUITE 1400
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2197
Practice Address - Country:US
Practice Address - Phone:276-596-9064
Practice Address - Fax:276-596-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248544207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty