Individual
THOMAS DOOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 RUNNING HORSE LN, WAXHAW, NC 28173-7232
(704) 999-0275
Mailing address
413 RUNNING HORSE LN, WAXHAW, NC 28173-7232
(704) 999-0275
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006-00826
NC
208D00000X
General Practice Physician
2006-00826
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS PROVIDER NUMBER
NC
05
—
PENDING
—
NC
Enumeration date
07/11/2006
Last updated
03/02/2021
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