MEDICARE: THOMAS PRITCHETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-13826	NC

General Provider Information

NPI Number	:	1306559679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS PRITCHETT

Provider Business Mailing Address
First Line	:	3515 TRENT RD STE 9
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-2220
Country	:	US
Telephone Number	:	252-514-2155
Fax Number	:	252-514-0303

Provider Business Practice Location Address
First Line	:	3515 TRENT RD STE 9
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-2220
Country	:	US
Telephone Number	:	252-514-2155
Fax Number	:	252-514-0303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2023
Last Update Date	:	02/06/2024

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Directions to “ THOMAS PRITCHETT ” Practice Location

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