Individual
DR. THOMAS W BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27599-0001
(919) 966-4996
(919) 843-5515
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
(919) 966-4996
(919) 843-5515
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
23254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8917022
—
NC
Enumeration date
10/04/2006
Last updated
04/01/2021
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