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NPI Code Detail

MEDICARE: THOMAS TRACY GIDUZ MD

MEDICARE:   THOMAS TRACY GIDUZ  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
12084P0800XPsychiatry Physician31723NC

General Provider Information

NPI Number : 1922090281
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS TRACY GIDUZ MD
Provider Business Mailing Address
First Line : 107 ELLSWORTH PL
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-4624
Country : US
Telephone Number : 919-971-7245
Fax Number : 919-967-1036
Provider Business Practice Location Address
First Line : 107 ELLSWORTH PL
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-4624
Country : US
Telephone Number : 919-971-7245
Fax Number : 919-967-1036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 03/06/2024

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Directions to “ THOMAS TRACY GIDUZ MD” Practice Location

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