Individual
THOMAS GRAHAM WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(252) 931-7638
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 931-7638
(252) 931-7694
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
200500277
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200500277
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12593
BCBS
—
01
—
199226
MEDCOST
—
05
—
3810009269
—
WV
05
—
5903351
—
NC
01
—
807028
PARTNERS
—
01
—
9306077
AETNA
—
05
—
Q77007
—
SC
Enumeration date
07/24/2006
Last updated
03/17/2018
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