Provider Demographics
NPI:1427280684
Name:THOMAS, DEBORAH W (DPH)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:W
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-3603
Mailing Address - Country:US
Mailing Address - Phone:865-521-2926
Mailing Address - Fax:865-546-7720
Practice Address - Street 1:4414 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-3603
Practice Address - Country:US
Practice Address - Phone:865-521-2926
Practice Address - Fax:865-546-7720
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN66611835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist