Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 2011-00729 | NC |
N | 207RP1001X | Pulmonary Disease | 2011-00729 | NC |
NPI | 1013171735 |
---|---|
Provider Name | Dr. Thomas J Bice |
First Address | Charlotte, NC 28260-0447 |
Second Address | Monroe, NC 28110-7763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 11/06/2021 |