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Individual

THOMAS F MENDOLIA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
201 W MAIN ST, ELKIN, NC 28621-3446
(336) 835-5688
(336) 835-6521
Mailing address
114 ELDRIDGE LN, STATE ROAD, NC 28676-8754
(336) 835-5688
(336) 835-6521

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34401
NC

Other

Enumeration date
04/27/2006
Last updated
07/08/2007
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