Individual
IRVIN EUGENE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED, CFO
Contact information
Practice address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712
Mailing address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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