Individual
THADDEUS C WEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 WAYNE MEMORIAL DRIVE, SUITE I, GOLDSBORO, NC 27534
(919) 739-9060
(919) 739-9099
Mailing address
PO BOX 250, BEAVER, PA 15009-0250
(800) 634-0201
(866) 727-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891087K
—
NC
Enumeration date
03/24/2006
Last updated
08/21/2021
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