Organization
THOMAS J. ANTALIK, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT O SHELTON (BILLING)
(919) 544-6318
Entity
Organization
Contact information
Practice address
511 RIDGE RD, ROXBORO, NC 27573-4627
(336) 597-5462
(336) 597-9428
Mailing address
PO BOX 3193, DURHAM, NC 27715-3193
(919) 544-6318
(919) 544-6336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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