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NPI Code Detail

MEDICARE: THOMAS SCOTT DRAUGHON M.D.

MEDICARE: THOMAS SCOTT DRAUGHON M.D.
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
1207Q00000XFamily Medicine Physician200201071NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518934082
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS SCOTT DRAUGHON M.D.
Provider Business Mailing Address
First Line : 201 N BREAZEALE AVE
Second Line :
City : MOUNT OLIVE
State : NC
Zip : 28365-1603
Country : US
Telephone Number : 919-658-4954
Fax Number : 919-658-5754
Provider Business Practice Location Address
First Line : 201 N BREAZEALE AVE
Second Line :
City : MOUNT OLIVE
State : NC
Zip : 28365-1603
Country : US
Telephone Number : 919-658-4954
Fax Number : 919-658-5754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 10/29/2007

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