Provider Demographics
NPI:1295801090
Name:MURRAY-THOMAS, YVETTE (PA)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:MURRAY-THOMAS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:217 GLENSFORD DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-0892
Mailing Address - Country:US
Mailing Address - Phone:800-849-5609
Mailing Address - Fax:910-868-5460
Practice Address - Street 1:801 W GORDON ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3426
Practice Address - Country:US
Practice Address - Phone:706-647-5590
Practice Address - Fax:706-647-5841
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2009-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA003994363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant