Provider Demographics
NPI:1417926221
Name:THOMAS, JULIAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:POLLOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28573-0068
Mailing Address - Country:US
Mailing Address - Phone:252-808-0145
Mailing Address - Fax:252-808-2770
Practice Address - Street 1:4252 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-0010
Practice Address - Country:US
Practice Address - Phone:252-808-0145
Practice Address - Fax:252-808-2770
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00781207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914676Medicaid
NC2075927Medicare PIN