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NPI Code Detail

MEDICARE: DR. TOM ORLI MD

MEDICARE: DR. TOM ORLI MD
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
1207RG0100XGastroenterology Physician200201510NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11442UOTHERNCBCBS NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124161476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOM ORLI MD
Provider Business Mailing Address
First Line : PO BOX 1267
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-1267
Country : US
Telephone Number : 336-719-7112
Fax Number : 336-786-3752
Provider Business Practice Location Address
First Line : 1016 S SOUTH ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5330
Country : US
Telephone Number : 336-786-6277
Fax Number : 336-786-6747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 05/16/2025

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Directions to “ DR. TOM ORLI MD” Practice Location

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