Terry A Thomas Jr, PA-S
Physician Assistant in Fort Campbell, KY. Individual provider (NPI-1).
NPI number1013727445
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1013727445
- Entity type
- Individual (NPI-1)
- Name
- Terry A Thomas Jr
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2025
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
650 Joel DrFort Campbell, KY 42223-5318
Phone 270-956-0336
Mailing address
2934 Dunlop Ln Apt 631Clarksville, TN 37043-1535
Phone 313-622-7599
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