Individual
THOMAS ARTHUR EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-4111
(910) 715-4101
Mailing address
PO BOX 843257, BOSTON, MA 02284-3257
(910) 715-4111
(910) 715-4101
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
15798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N26227
—
SC
01
—
P00344747
RAILROAD MEDICARE
—
Enumeration date
09/07/2005
Last updated
08/13/2013
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