Organization
ALBEMARLE ALLERGY & ASTHMA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ALEXANDER TOLSON MD (OWNER)
(252) 338-0373
Entity
Organization
Contact information
Practice address
410 E MAIN ST, SUITE 202, ELIZABETH CITY, NC 27909-4495
(252) 338-0373
Mailing address
410 E MAIN ST, SUITE 202, ELIZABETH CITY, NC 27909-4495
(252) 338-0373
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
72895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139J
BCBS GROUP NUMBER
NC
05
—
6983580
—
NC
Enumeration date
02/01/2007
Last updated
08/13/2012
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