Individual
DR. THOMAS STEVEN IVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1806 S HAWTHORNE RD STE 200, WINSTON SALEM, NC 27103-4014
(336) 718-3170
Mailing address
PO BOX 604136, CHARLOTTE, NC 28260-4136
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200301244
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
200301244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135KT
—
NC
Enumeration date
10/11/2006
Last updated
12/16/2025
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