Provider Demographics
NPI:1790982536
Name:TOMKINS, CALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:
Last Name:TOMKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7782
Mailing Address - Country:US
Mailing Address - Phone:828-254-5326
Mailing Address - Fax:828-251-5954
Practice Address - Street 1:2 MEDICAL PARK DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7782
Practice Address - Country:US
Practice Address - Phone:828-254-5326
Practice Address - Fax:828-251-5954
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-1292208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5910686Medicaid