Individual
DR. CAROL THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4178 HIGHBRIDGE RD, GEORGIA, VT 05454
(802) 524-9595
(802) 524-2867
Mailing address
32 PITKIN ST, BURLINGTON, VT 05401-5120
(802) 238-4972
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420008222
VT
207Q00000X
Family Medicine Physician
MD22764
ME
207QA0401X
Addiction Medicine (Family Medicine) Physician
042000
VT
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD22764
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009919
—
VT
01
—
080176413
RAIL ROAD MEDICARE
VT
Enumeration date
05/08/2006
Last updated
03/17/2019
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