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Individual

DR. THOMAS CARL PENDLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
985 9TH AVE SW, SUITE 406, BESSEMER, AL 35022-4500
(205) 481-7470
(205) 481-7469
Mailing address
985 9TH AVE SW, SUITE 406, BESSEMER, AL 35022-4500
(205) 481-7470
(205) 481-7469

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13310
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000080542
AL
01
51080542
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
08/31/2006
Last updated
07/08/2007
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