MEDICARE: DR. JUDY ANGELA TJOE 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
1	208600000X	Surgery Physician	38133	WI
2	208600000X	Surgery Physician	2019-02900	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1942317052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY ANGELA TJOE MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 W MARKET ST STE 300
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-4442
Country	:	US
Telephone Number	:	336-660-5540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/05/2023

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