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Individual

RAYFORD W THWEATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
08775
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051501559
BCBS OF AL
AL
05
051501559
AL
01
051503141
FED. BCBS OF AL
AL
01
051598203
BCBS
AL
01
051598214
BCBS
AL
05
123277
AL
01
260047164
RR MEDICARE
AL
01
330500513
MEDICAID REHAB
AL
01
51110415
BCBS
AL
01
C75914
VIVA
AL
Enumeration date
08/08/2006
Last updated
09/01/2011
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