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S Michelle Thornblade, PAC
Physician Assistant in Waldorf, Maryland
NPI 1629079454

S Michelle Thornblade is a Physician Assistant based in Baltimore, MD. S Michelle Thornblade practices in Waldorf, MD and has the professional credentials of PAC. The NPI Number for S Michelle Thornblade is 1629079454 and holds a License No. C0002969 (Maryland).

The current practice location address for S Michelle Thornblade is 3975 Saint Charles Pkwy, Waldorf, MD and can be reached out via phone at 301-645-6800 and via fax at 301-645-8696.

Location: 3975 Saint Charles Pkwy, Waldorf, MD, 21201-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629079454
Provider Name
S Michelle Thornblade
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3975 Saint Charles Pkwy, Waldorf, MD, 21201-3610
Phone Number
301-645-6800
Fax Number
301-645-8696
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1421 01 CO LICENSE (EXPIRED)
PA02088 01 TX PA LICENSE (INACTIVE STAT
institution
Provider Business Practice Location Address Details
Address
3975 Saint Charles Pkwy
City
Waldorf
State
Maryland
Zip
20602-2683
Phone Number
301-645-6800
Fax Number
301-645-8696
person
Provider Business Mailing Address Details
Address
3975 Saint Charles Pkwy
City
Waldorf
State
Maryland
Zip
20602-2683
Phone Number
301-645-6800
Fax Number
301-645-8696
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
C0002969 (Maryland)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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