Individual
DR. TAMMY L THORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 LUTHER RD, JEFFERSON, NC 28640
(336) 846-3315
Mailing address
200 HOSPITAL AVE STE 5, JEFFERSON, NC 28640-9244
(336) 246-7779
(336) 846-8370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010345359
—
VA
01
—
11982
PARTNERS
NC
01
—
43058
MEDCOST
NC
01
—
5277206002
CIGNA HEALTHCARE
NC
01
—
770000140
RAILROAD MEDICARE
NC
05
—
7983237
—
NC
01
—
83237
BCBS NC
NC
05
—
891046L
—
NC
Enumeration date
09/27/2005
Last updated
09/01/2021
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