Provider Demographics
NPI:1699351239
Name:SISSON, THOMAS MILLER (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:MILLER
Last Name:SISSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7506 HOSPITAL NORTH
Mailing Address - Street 2:DUMC BOX 3090
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-681-8927
Mailing Address - Fax:919-681-8927
Practice Address - Street 1:7506 HOSPITAL NORTH
Practice Address - Street 2:DUMC BOX 3090
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-681-8927
Practice Address - Fax:919-681-8927
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program