Provider Demographics
NPI:1750536132
Name:HIGH, THOMAS PAGE
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:PAGE
Last Name:HIGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:PAGE
Other - Middle Name:
Other - Last Name:HIGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 839
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-0839
Mailing Address - Country:US
Mailing Address - Phone:919-894-1740
Mailing Address - Fax:919-894-2701
Practice Address - Street 1:1 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1177
Practice Address - Country:US
Practice Address - Phone:919-894-1740
Practice Address - Fax:919-894-2701
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily