Individual
THOMAS ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
2300 RANDOLPH RD STE B, CHARLOTTE, NC 28207-1586
(704) 968-4633
Mailing address
9902 LEAF ARBOR LN, CHARLOTTE, NC 28277-0011
(704) 968-4633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-5081821
PRIVATE INSURANCE
NC
Enumeration date
07/22/2021
Last updated
07/22/2021
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