Healthcare Provider Details

I. General information

NPI: 1225052194
Provider Name (Legal Business Name): THOMAS VINCENT TIGHE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

IV. Provider business mailing address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-0101
  • Fax: 828-757-0402
Mailing address:
  • Phone: 828-754-0101
  • Fax: 828-757-0402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number2016-01735
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A5921
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: