Provider Demographics
NPI:1598879843
Name:MOTYKA, THOMAS M (DO)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:M
Last Name:MOTYKA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:727 EASTOWNE DR STE 200A
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2297
Mailing Address - Country:US
Mailing Address - Phone:919-401-4515
Mailing Address - Fax:919-401-4514
Practice Address - Street 1:727 EASTOWNE DR
Practice Address - Street 2:200-A
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2214
Practice Address - Country:US
Practice Address - Phone:919-401-4515
Practice Address - Fax:919-401-4514
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891300JMedicaid
NC891300JMedicaid
NCG37688Medicare UPIN