| Thomas M. Truitt, M.d.p.c. | |
|
2232 Wilborn Ave Suite B South Boston VA 24592-1662 | |
| (434) 476-1819 | |
| Not Available |
| Full Name | Thomas M. Truitt, M.d.p.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2232 Wilborn Ave, South Boston, Virginia |
| Authorized Official Name and Position | Thomas M Truitt (PRESIDENT) |
| Authorized Official Contact | 4345725260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M. Truitt, M.d.p.c. 2232 Wilborn Ave Suite B South Boston VA 24592-1662 Ph: (434) 476-1819 | Thomas M. Truitt, M.d.p.c. 2232 Wilborn Ave Suite B South Boston VA 24592-1662 Ph: (434) 476-1819 |
| NPI Number | 1306954094 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890989826 |
|---|---|
| Medicare Enrollment ID | O20101103000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306954094 | NPI | - | NPPES |
| 435519 | Other | VA | ANTHEM |
| 89150 | Other | VA | SENTARA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101054633 (Virginia) | Primary |
| Provider Name | Thomas Michael Truitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891790838 PECOS PAC ID: 6709070733 Enrollment ID: I20101103000584 |
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