Individual
DR. DONALD EUGENE TOOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211-1187
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28612
NC
2085R0204X
Vascular & Interventional Radiology Physician
23293
SC
2085R0204X
Vascular & Interventional Radiology Physician
28612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983655
—
NC
05
—
N28612
—
SC
Enumeration date
04/05/2006
Last updated
03/27/2024
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