THOMAS JACKSON VANDIVER

CHARLOTTE, NC
NPI1902896756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NC  24305)
Enumeration Date2005-10-24
Last Update Date2015-03-11
Business Address
Dr. THOMAS JACKSON VANDIVER MD
150 PROVIDENCE RD
CHARLOTTE, NC 28207-1218
Phone number: 704-973-2106
Mailing Address
Dr. THOMAS JACKSON VANDIVER MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-973-2106
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