Individual
DR. THOMAS M KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9417
(919) 580-0004
(919) 580-9099
Mailing address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9417
(919) 580-0004
(919) 580-9099
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25610
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49941
BLUE CROSS BLUE SHIELD
—
05
—
8949941
—
NC
Enumeration date
06/17/2005
Last updated
06/05/2024
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