Individual
DR. THOMAS JOHN BACKENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-4000
(706) 604-8363
Mailing address
2817 ROCK MERRITT AVE, WOMAC ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
56371
KY
Other
Enumeration date
09/25/2006
Last updated
05/06/2025
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