Search › North Carolina › 363A00000X
Eugene Thiebaud, PAC
NPI 1306821269 · on the registry since 2005
Practice
- Address
- Bldg 200, Robinhood Medical Plaza
Winston Salem, NC 27106 - Phone
- (336) 718-7950
- Fax
- (336) 718-7989
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina