Provider Demographics
NPI:1639708936
Name:THOMAS, BETTY RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:RACHEL
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:100 RIDGEVIEW DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:15478-1650
Mailing Address - Country:US
Mailing Address - Phone:724-324-9001
Mailing Address - Fax:724-569-8100
Practice Address - Street 1:105 LAUREL VIEW DR
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:PA
Practice Address - Zip Code:15478-8908
Practice Address - Country:US
Practice Address - Phone:724-569-8100
Practice Address - Fax:724-569-8368
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2024-01-10
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Provider Licenses
StateLicense IDTaxonomies
PAMD482741207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine