Most Relevant Information
Provider Data
| NPI Number: | 1003237702 |
| Provider Name: | TONYA THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00465300 |
Most Important Dates
| Enumeration Date: | 12/23/2013 |
| Last Updated: | 11/17/2022 |
Provider Practice Location
4600 CAPITAL BLVD
RALEIGH
NC
276044478
Practice Location Phone/Fax
| Phone: | 9199807008 |
| Fax: |
Provider Mailing Location
PO BOX 746724
ATLANTA
GA
303746724
Provider Mailing Phone/Fax
| Phone: | 3127339730 |
| Fax: |