Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2021-03352 | NC |
Y | 111NI0900X | Internist | 2021-03352 | NC |
N | 207R00000X | Internist | 34-006681 | OH |
N | 111NI0900X | Internist | 34-006681 | OH |
N | 207RH0002X | Hospice and Palliative Medicine | 18374 | NH |
N | 207RH0002X | Hospice and Palliative Medicine | 2021-03352 | NC |
NPI | 1144337965 |
---|---|
Provider Name | Ruth M Thomson |
First Address | Flat Rock, NC 28731-9447 |
Second Address | Flat Rock, NC 28731-9447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 16/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2247036 | (05) | OH |
H27506 | (02) |