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Dr. Thomas Jackson Vandiver, MD
Gynecology Physician in Charlotte, North Carolina
NPI 1902896756

Thomas Jackson Vandiver is a Gynecology Physician based in Charlotte, NC and is specialized in Gynecology. Thomas Jackson Vandiver practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Thomas Jackson Vandiver is 1902896756 and holds a License No. 24305 (North Carolina).

The current practice location address for Thomas Jackson Vandiver is 150 Providence Rd, Charlotte, NC and can be reached out via phone at 704-973-2106 and via fax at 704-973-2395.

Location: 150 Providence Rd, Charlotte, NC, 28260-0447
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Provider Profile Details
NPI Number
1902896756
Provider Name
Thomas Jackson Vandiver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Providence Rd, Charlotte, NC, 28260-0447
Phone Number
704-973-2106
Fax Number
704-973-2395
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8984676 05 NC
institution
Provider Business Practice Location Address Details
Address
150 Providence Rd
City
State
Zip
28207-1218
Phone Number
704-973-2106
Fax Number
704-973-2395
person
Provider Business Mailing Address Details
Address
150 Providence Rd
City
State
Zip
28207-1218
Phone Number
704-973-2106
Fax Number
704-973-2395
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
24305 (North Carolina)
Definition
Definition to come...
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