Individual
THOMAS ROSS ANDRUS JR.
Active
Individual
THOMAS ROSS ANDRUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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