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NPI Code Detail

MEDICARE: ANGELO THOMPSON DPT, MTC

MEDICARE: ANGELO THOMPSON DPT, MTC
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
12251X0800XOrthopedic Physical Therapist8651NC

General Provider Information

NPI Number : 1427538446
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELO THOMPSON DPT, MTC
Provider Business Mailing Address
First Line : 2700 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9494
Country : US
Telephone Number : 919-587-3169
Fax Number : 919-583-8503
Provider Business Practice Location Address
First Line : 2808 MCLAMB PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1600
Country : US
Telephone Number : 919-587-3169
Fax Number : 919-587-8503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ ANGELO THOMPSON DPT, MTC” Practice Location

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