Provider Demographics
NPI:1437144714
Name:HOWARD, THOMAS MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:HOWARD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1414 YANCEYVILLE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6962
Mailing Address - Country:US
Mailing Address - Phone:336-895-1598
Mailing Address - Fax:336-390-2170
Practice Address - Street 1:400 ASHVILLE AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6134
Practice Address - Country:US
Practice Address - Phone:919-371-2371
Practice Address - Fax:919-371-2375
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2016-11-30
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Provider Licenses
StateLicense IDTaxonomies
NC32116207QS0010X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010101506Medicaid
VA010101506Medicaid
VA016537F32Medicare PIN
I25910Medicare UPIN