Individual
THOMAS ROSS ANDRUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3809 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6518
(919) 782-3782
Mailing address
3809 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6518
(919) 782-3782
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0350477
UNITED HEALTHCARE
NC
01
—
11518
NC BLUECROSS BLUESHIELD
NC
01
—
4641217-003
CIGNA
NC
05
—
8911518
—
NC
Enumeration date
03/14/2006
Last updated
07/12/2007
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