Individual
DR. THOMAS SCOTT DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401
(910) 762-3882
Mailing address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401-7354
(910) 762-3882
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005-01142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035729
—
TN
Enumeration date
06/21/2007
Last updated
06/13/2018
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