Maddox, Thomas Wilbur

Maddox, Thomas Wilbur is an individual health care provider with primary practice located at 2800 Blue Ridge Rd Ste 503, Raleigh NC 27607-6477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maddox, Thomas Wilbur can be contacted via phone (919) 782-8210.

Contact Information

Primary practice address
2800 Blue Ridge Rd Ste 503 Raleigh NC 27607-6477
Phone: (919) 782-8210
Fax: (919) 781-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29326 North Carolina

Profile Details

NPI number 1144225087
LBN Legal business name Maddox, Thomas Wilbur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 14th, 2009 - about 17 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 1144225087 NPPES
North Carolina Other 53706 BCBS-NC
North Carolina MEDICAID 8953706 BCBS-NC

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