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Individual

THOMAS C SUNDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4525 CAMERON VALLEY PKWY, SUITE 4100, CHARLOTTE, NC 28211-4378
(704) 302-9300
(704) 302-9301
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 302-9300
(704) 302-9301

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25958
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063433456
NC
01
660003567
MEDICARE-RR
NC
01
80105
BCBSNC
NC
05
8980105
NC
05
N25958
SC
Enumeration date
07/21/2006
Last updated
12/06/2016
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