Healthcare Provider Details

I. General information

NPI: 1073648465
Provider Name (Legal Business Name): THOMAS BART SATTERFIELD PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 BOWMAN GRAY DR
GREENVILLE NC
27834-7286
US

IV. Provider business mailing address

810 W.H. SMITH BLVD.
GREENVILLE NC
27834
US

V. Phone/Fax

Practice location:
  • Phone: 252-816-4001
  • Fax: 252-317-0829
Mailing address:
  • Phone: 252-757-2663
  • Fax: 252-317-0829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-00823
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: