Provider Demographics
NPI:1629077862
Name:WHYTE, THOMAS M (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:WHYTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:STE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:350 N COX ST
Practice Address - Street 2:STE 20
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5514
Practice Address - Country:US
Practice Address - Phone:336-672-3200
Practice Address - Fax:336-629-7349
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2011-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC30518207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012FWMedicaid
NC7987266Medicaid
NC012FWOtherBCBS GROUP NUMBER
NCP00867043OtherRR MEDICARE
NC103401OtherUNITED HEALTH CARE PROVIU
NC87266OtherBCBS PROVIDER NUMBER
NC89012FWMedicaid
NC7987266Medicaid
NC103401OtherUNITED HEALTH CARE PROVIU
NC012FWOtherBCBS GROUP NUMBER
NC89012FWMedicaid