Individual
DR. THOMAS FRANCIS TRAHEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1028 LEE ANN DR NE, SUITE 100, CONCORD, NC 28025-2903
(704) 316-5353
(704) 316-5354
Mailing address
1718 E 4TH ST, SUITE 501, CHARLOTTE, NC 28204-3261
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30749
NC
207RC0000X
Cardiovascular Disease Physician
Primary
30749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287188
MAMSI
—
01
—
561845661
CHAMPUS
—
01
—
83707
BLUE CROSS BLUE SHIELD
NC
05
—
893707
—
NC
01
—
9454
PARTNERS
—
Enumeration date
06/22/2005
Last updated
01/05/2010
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