Wall, Thomas Craven

Wall, Thomas Craven is an individual health care provider with primary practice located at 1126 N Church St Suite 300, Greensboro NC 27401-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wall, Thomas Craven can be contacted via phone (336) 547-1700.

Contact Information

Primary practice address
1126 N Church St Suite 300 Greensboro NC 27401-1000
Phone: (336) 547-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28097 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 28097 North Carolina

Profile Details

NPI number 1528018314
LBN Legal business name Wall, Thomas Craven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 26th, 2019 - about 5 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 1528018314 NPPES
North Carolina Other 33586 MEDCOST
North Carolina Other 2298 MEDCOST
North Carolina MEDICAID 8985392 MEDCOST
North Carolina Other 85392 MEDCOST
North Carolina Other 4245049 MEDCOST

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