Organization
TERISA A THOMAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERISA ANN THOMAS MD (OWNER)
(256) 549-0067
Entity
Organization
Contact information
Practice address
303 BAY ST STE 202, GADSDEN, AL 35901-5203
(256) 549-0067
Mailing address
303 BAY ST STE 202, GADSDEN, AL 35901-5203
(256) 549-0067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23391
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529917180
—
AL
Enumeration date
05/23/2008
Last updated
10/20/2011
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