Individual
JERILL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-5145
Mailing address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-5145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22507
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981485
—
AL
Enumeration date
01/27/2006
Last updated
03/07/2023
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