Individual
DR. THURMOND ERIC SICELOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
145 TILGHMAN DR STE 400, DUNN, NC 28334-4865
(910) 892-1107
Mailing address
6341 COOK AVE, CLEMMONS, NC 27012-9379
(336) 766-8400
(336) 766-8486
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
388
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
388
NC
213ES0131X
Foot Surgery Podiatrist
388
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164425013
—
NC
05
—
7908019
—
NC
01
—
NCH360B699
MEDICARE
NC
01
—
P01909015
RAILROAD MEDICARE
NC
Enumeration date
05/24/2005
Last updated
03/05/2025
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