Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TH0100X | Health Service | ||
Y | 103TR0400X | Rehabilitation Psychologist | 1884 | NC |
NPI | 1598143224 |
---|---|
Provider Name | Dr. John Arthur Thomason |
First Address | Angier, NC 27501-6854 |
Second Address | Angier, NC 27501-6854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 14/05/2015 |