Individual
DR. THOMAS G. TRAUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1057 RED VENTURES DR STE 150, FORT MILL, SC 29707-2518
(803) 548-3708
(803) 431-2249
Mailing address
1420 E 7TH ST STE 400, CHARLOTTE, NC 28204-2408
(704) 375-0100
(704) 375-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
21301
SC
2085R0001X
Radiation Oncology Physician
Primary
30104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170F
BLUE CROSS
NC
01
—
1818082007
CIGNA
NC
01
—
2086657
UNITED HEALTHCARE
NC
01
—
6225
PARTNERS
NC
01
—
84865
MEDCOST
NC
05
—
8983701
—
NC
05
—
N30104
—
SC
Enumeration date
03/20/2006
Last updated
12/27/2017
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