Individual
DR. ROBERT BRADLEY THOMASON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2827 LYNDHURST AVE, SUITE 203, WINSTON SALEM, NC 27103-4145
(336) 794-8624
(336) 231-8845
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 794-8624
(336) 231-8845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29966
NC
2086S0129X
Vascular Surgery Physician
Primary
29966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912967712
—
VA
01
—
29966
NC LICENSE
NC
05
—
8982803
—
NC
Enumeration date
03/24/2006
Last updated
06/15/2023
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