Provider Demographics
NPI:1922250935
Name:THOMAS, ANNE ROBERTS (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ROBERTS
Last Name:THOMAS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:145 KIMEL PARK DR
Mailing Address - Street 2:STE 330
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6972
Mailing Address - Country:US
Mailing Address - Phone:336-765-6181
Mailing Address - Fax:336-765-8492
Practice Address - Street 1:1511 WESTOVER TERRACE
Practice Address - Street 2:STE. 107
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408
Practice Address - Country:US
Practice Address - Phone:336-398-5155
Practice Address - Fax:336-398-5156
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2020-03-17
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02431363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-02431OtherNORTH CAROLINA STATE MEDICAL BOARD