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Individual

THOMAS EDWIN SIBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
026525
CT
2084P0800X
Psychiatry Physician
Primary
31201
NC
2084P0800X
Psychiatry Physician
G87269
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G872690
CA
05
5912807
NC
Enumeration date
03/06/2009
Last updated
04/16/2013
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