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NPI Code Detail

MEDICARE: THOMAS MEDICAL: CONCIERGE MEDICINE & AESTHETICS PLLC

MEDICARE: THOMAS MEDICAL: CONCIERGE MEDICINE & AESTHETICS PLLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1629884390
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS MEDICAL: CONCIERGE MEDICINE & AESTHETICS PLLC
Provider Business Mailing Address
First Line : 515 MIDLAND RD STE A
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-3300
Country : US
Telephone Number : 910-639-5591
Fax Number : 910-684-8877
Provider Business Practice Location Address
First Line : 515 MIDLAND RD STE A
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-3300
Country : US
Telephone Number : 910-639-5591
Fax Number : 910-684-8877
Authorized Official
Title or Position : OWNER
Name : JULIE MEREDITH THOMAS
Credential : PA
Telephone Number : 910-690-1747
Provider Enumeration Date : 12/09/2024
Last Update Date : 10/21/2025

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Directions to “THOMAS MEDICAL: CONCIERGE MEDICINE & AESTHETICS PLLC ” Practice Location

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