Individual
THOMAS GRESALFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 BALFOUR DR, ARCHDALE, NC 27203-6760
(336) 431-0700
(336) 431-0762
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204004C
MEDICARE-RELATED NUMBER OF LONG-STANDING DURATION
NC
05
—
8937211
—
NC
Enumeration date
07/06/2006
Last updated
05/26/2017
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