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Contact Information

THOMAS P MUTTON, MD
1900 S HAWTHORNE RD
SUITE 480
WINSTON-SALEM, NC27103-3913
 Phone: 336-765-0155
 Fax: 336-765-5494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THOMAS P MUTTON · (Male)

NPI # 1760483689
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 10/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 18688
  • NC Medicaid 8961648
  • Other 125882 AETNA
  • Other 61648 BLUE CROSS/BLUESHIELD
  • Other 1319922 CIGNA HEALTHCARE
  • Other 2072030 FIRST HEALTH GROUP
  • Other 28536 MEDCOST
  • Other 546165 UHC
  • Other 122902 WELLPATH
Hospital affiliation(s)
  • ASHE MEMORIAL HOSPITAL - (Critical Access)
    200 HOSPITAL AVE
    JEFFERSON, NC 28640
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
  • VIDANT CHOWAN HOSPITAL - (Critical Access)
    211 VIRGINIA RD
    EDENTON, NC 27932
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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