Provider Demographics
NPI:1841695004
Name:MOBLEY, THOMAS BARNETT III (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BARNETT
Last Name:MOBLEY
Suffix:III
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 1:1413 LANDFALL DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-4251
Mailing Address - Country:US
Mailing Address - Phone:910-256-2166
Mailing Address - Fax:910-256-4799
Practice Address - Street 1:1413 LANDFALL DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4251
Practice Address - Country:US
Practice Address - Phone:910-256-2166
Practice Address - Fax:910-256-4799
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21494208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology