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Individual
DR. THOMAS JACKSON THOMASSON IV
Active
Individual
DR. THOMAS JACKSON THOMASSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30098
AL
207XX0801X
Orthopaedic Trauma Physician
30098
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116836
—
AL
01
—
1962603084
TRICARE
AL
01
—
51120538
BCBS
AL
01
—
9826470
AETNA
AL
01
—
Z12047
VIVA HEALTHCARE
AL
Enumeration date
05/29/2007
Last updated
05/01/2024
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