Individual
CHARLES EDWIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2034 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 269-0212
(334) 269-2144
Mailing address
2034 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 269-0212
(334) 269-2144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11300
AL
207RN0300X
Nephrology Physician
Primary
11300
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH000086803
—
AL
Enumeration date
10/17/2006
Last updated
07/25/2008
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