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Organization

THOMAS E SIMPSON MDPA

Active
Parent organization
THOMAS E SIMPSON MDPA
Organization subpart
Yes

Provider details

NPI number
Legal business name
THOMAS E SIMPSON MDPA
Authorized official
DR. THOMAS E SIMPSON M.D. (PRESIDENT)
(336) 659-9440
Entity
Organization

Contact information

Practice address
760 HIGHLAND OAKS DR, SUITE 200, WINSTON SALEM, NC 27103-7114
(336) 659-9440
(336) 659-9292
Mailing address
760 HIGHLAND OAKS DR, STE 200, WINSTON SALEM, NC 27103-7114
(336) 659-9440
(336) 659-9292

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39466
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
76440
BCBS
NC
05
8976440
NC
Enumeration date
07/17/2006
Last updated
02/13/2013
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