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NPI Code Detail

MEDICARE: THOMAS SANDERS ROBERT WARD JR. MD

MEDICARE:   THOMAS SANDERS ROBERT WARD JR. 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
1207Q00000XFamily Medicine Physician9700798NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21072GOTHERNCBCBS

General Provider Information

NPI Number : 1588758601
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS SANDERS ROBERT WARD JR. MD
Provider Business Mailing Address
First Line : 1272 EAST STREET
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3437
Country : US
Telephone Number : 828-456-3511
Fax Number : 828-456-3583
Provider Business Practice Location Address
First Line : 1272 EAST STREET
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3437
Country : US
Telephone Number : 828-456-3511
Fax Number : 828-456-3583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/27/2023

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