Provider Demographics
NPI:1639373327
Name:O'NEILL, THOMAS J IV (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:O'NEILL
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 ACC BUILDING, UNC CH
Mailing Address - Street 2:102 MASON FARM ROAD, CB#7705
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7705
Mailing Address - Country:US
Mailing Address - Phone:919-966-6989
Mailing Address - Fax:919-843-9355
Practice Address - Street 1:3100 ACC BUILDING, UNC CH
Practice Address - Street 2:102 MASON FARM ROAD, CB#7705
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7705
Practice Address - Country:US
Practice Address - Phone:919-966-6989
Practice Address - Fax:919-843-9355
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2013-07-30
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Provider Licenses
StateLicense IDTaxonomies
NC141369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine