Provider Demographics
NPI:1962682948
Name:T B DOAN M B & ASSOCIATES PC
Entity Type:Organization
Organization Name:T B DOAN M B & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-837-7708
Mailing Address - Street 1:145 MEDICAL PARK LN
Mailing Address - Street 2:STE L
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6872
Mailing Address - Country:US
Mailing Address - Phone:828-837-7708
Mailing Address - Fax:828-837-8820
Practice Address - Street 1:145 MEDICAL PARK LN
Practice Address - Street 2:STE L
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6872
Practice Address - Country:US
Practice Address - Phone:828-837-7708
Practice Address - Fax:828-837-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2341882Medicare PIN