Individual
FRANCIS TREVOR THANDROYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20128
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060052285
RR MEDICARE
—
05
—
201285
—
SC
01
—
8758
MEDICARE GRP NUMBER
SC
01
—
DG3188
RR MEDICARE GRP NUMBER
SC
05
—
GP2489
—
SC
Enumeration date
12/14/2005
Last updated
09/03/2024
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