Individual
DR. THOMAS FAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 APPERSON DR, SALEM, VA 24153-7133
(540) 404-9598
(540) 404-9608
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101048225
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083691307
—
VA
01
—
VVK783A
MEDICARE PTAN
VA
Enumeration date
12/28/2005
Last updated
12/18/2023
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