Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 37959 | NC |
N | 207ND0101X | MOHS-Micrographic Surgeon | 37959 | NC |
N | 207NS0135X | Procedural Dermatology | 37959 | NC |
NPI | 1366437501 |
---|---|
Provider Name | Rufus Mcafee Thomas JR. |
First Address | Clyde, NC 28721-1900 |
Second Address | Asheville, NC 28806-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 03/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
561473220 | ALL OTHER INSURANCE (01) | |
82791 | BLUE CROSS BLUE SHIELD (01) | |
8982791 | (05) | NC |
D71836 | (02) |