Individual provider · Type 1 NPI

Thomas Jackson Vandiver, MD

Gynecology Physician · Charlotte, NC

NPI number 1902896756 Active

Practice location

150 Providence Rd
Charlotte, NC 28207-1218

Call (704) 973-2106 Map

Fax (704) 973-2395

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X24305 (NC)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1902896756

Thomas Jackson Vandiver, MD's National Provider Identifier is 1902896756, issued on Oct 24, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Charlotte, NC. The record was last updated on Mar 11, 2015.