Abbott, Thomas D

Abbott, Thomas D is an individual health care provider with primary practice located at 12208 Hwy 150 N , Winston-Salem NC 27127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abbott, Thomas D can be contacted via phone (336) 764-2324.

Contact Information

Primary practice address
12208 Hwy 150 N Winston-Salem NC 27127
Fax: (336) 764-9541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0000-28452 North Carolina

Profile Details

NPI number 1659359875
LBN Legal business name Abbott, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Oct 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659359875 NPPES
North Carolina MEDICAID 7910029

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