Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2012-00428 | NC |
N | 208600000X | Surgeon | 2012-00428 | NC |
Y | 2086S0120X | Pediatric Surgery | 2012-00428 | NC |
NPI | 1558499301 |
---|---|
Provider Name | Thomas Schmelzer |
First Address | Charlotte, NC 28207-1914 |
Second Address | Charlotte, NC 28207-1122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 20/06/2012 |