| Everette B Thombs, Md | |
|
711 W Mountain St Kings Mountain NC 28086-2711 | |
| (704) 739-9586 | |
| Not Available |
| Full Name | Everette B Thombs, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 W Mountain St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Terri D Mccoy (OFFICE MANAGER) |
| Authorized Official Contact | 7047399586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everette B Thombs, Md Po Box 801 Kings Mountain NC 28086-0801 Ph: (704) 739-9586 | Everette B Thombs, Md 711 W Mountain St Kings Mountain NC 28086-2711 Ph: (704) 739-9586 |
| NPI Number | 1760652150 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/06/2008 |
| Medicare PECOS PAC ID | 7113175431 |
|---|---|
| Medicare Enrollment ID | O20120911000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760652150 | NPI | - | NPPES |
| 82776 | Other | NC | BC/BS |
| 8982776 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25194 (North Carolina) | Primary |
| Provider Name | Evertette Thombs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053335281 PECOS PAC ID: 0042468134 Enrollment ID: I20120914000398 |
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