Individual
HENRY C THOMASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 X RAY DR, GASTONIA, NC 28054-7489
(704) 867-2341
(704) 867-9019
Mailing address
1021 X RAY DR, GASTONIA, NC 28054-7489
(704) 867-2341
(704) 867-9019
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15594
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110125028
RAILROAD MEDICARE
NC
01
—
82770
BCBSNC PROVIDER #
NC
05
—
8982770
—
NC
05
—
E16391
—
SC
Enumeration date
07/03/2006
Last updated
05/01/2008
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