Individual
THOMAS RAYMOND WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 101, KERNERSVILLE, NC 27284-7198
(336) 564-4950
(336) 564-4959
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4035
(336) 564-4047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020031231
RR MEDICARE
NC
05
—
898552C
—
NC
Enumeration date
07/12/2006
Last updated
02/14/2024
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