Individual
THOMAS RANDOLPH PERKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2834 MOODY PKWY, MOODY, AL 35004-3101
(205) 640-2808
(205) 640-2810
Mailing address
2834 MOODY PKWY, MOODY, AL 35004-3101
(205) 640-2808
(205) 640-2810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00022846
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D0888565
CLIA
AL
01
—
51504084
BLUE CROSS & BLUE SHIELD
AL
05
—
51504084
—
AL
Enumeration date
07/27/2006
Last updated
03/02/2010
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