Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 38226 | NC |
NPI | 1003836073 |
---|---|
Provider Name | John T Tolhurst |
First Address | Charlotte, NC 28275-0358 |
Second Address | Rutherfordton, NC 28139-2838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 17/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
83618 | BCBS (01) | NC |
8983618 | (05) | NC |
930099574 | RAILROAD MEDICARE (01) | NC |
E11250 | (02) | NC |
TL2442 | (05) | SC |