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Individual

DR. THOMAS EDWARD THIELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 BETHESDA DR, GREENVILLE, NC 27834-7218
(252) 752-7141
(252) 752-0223
Mailing address
300 BETHESDA DR, GREENVILLE, NC 27834-7218
(252) 752-7141
(252) 752-0223

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
116729
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116729
NORTH CAROLINA MEDICAL BOARD
NC
05
5910395
NC
Enumeration date
09/21/2006
Last updated
06/24/2016
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