Provider Demographics
NPI:1780835769
Name:THOMAS, JOHN ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALEXANDER
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2208 S 17TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7593
Mailing Address - Country:US
Mailing Address - Phone:910-763-3333
Mailing Address - Fax:910-763-3336
Practice Address - Street 1:2208 S 17TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7593
Practice Address - Country:US
Practice Address - Phone:910-763-3333
Practice Address - Fax:910-763-3336
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2012-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00394207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery