| Mr Thomas Joyner Haddock Iii, FNP | |
|
137 Third St, Ayden, NC 28513-7252 | |
| (252) 746-3116 | |
| Not Available |
| Full Name | Mr Thomas Joyner Haddock Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 137 Third St, Ayden, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255067872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5016606 (North Carolina) | Primary |
| Entity Name | Pitt Family Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578638078 PECOS PAC ID: 4688716178 Enrollment ID: O20100121000562 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Joyner Haddock Iii, FNP 137 Third St, Ayden, NC 28513-7252 Ph: (252) 746-3116 | Mr Thomas Joyner Haddock Iii, FNP 137 Third St, Ayden, NC 28513-7252 Ph: (252) 746-3116 |
Mrs. Brandy Galloway, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 463 Second St, Ayden, NC 28513 Phone: 252-651-5628 Fax: 252-290-6622 |
Robin Harrison Tyson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 3rd St, Ayden, NC 28513 Phone: 252-746-3116 |