IndividualActive
Jacqueline Thomas
NPI 1043688286 · Primary Podiatric Medicine Podiatrist · Sanford, NC
Provider details
- NPI number
- 1043688286
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- EL6748 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Allopathic & Osteopathic Physicians
Practice location
821 S Horner Blvd
Sanford, NC 27330-5359
Phone: (919) 292-1610
Approximate (ZIP-level) locationGet directions
Mailing address
821 S Horner Blvd
Sanford, NC 27330-5359
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.