Provider Demographics
NPI:1598871352
Name:THOMAS J C WOODS MD PA
Entity Type:Organization
Organization Name:THOMAS J C WOODS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J C
Authorized Official - Last Name:WOODS MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-592-2122
Mailing Address - Street 1:603 BEAMAN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2650
Mailing Address - Country:US
Mailing Address - Phone:910-592-2122
Mailing Address - Fax:910-592-7196
Practice Address - Street 1:603 BEAMAN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2650
Practice Address - Country:US
Practice Address - Phone:910-592-2122
Practice Address - Fax:910-592-7196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8801828Medicaid
NC0149120001Medicare NSC