Individual
DR. THOMAS DEVERELL BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 HERREN HILL RD, SUITE E, TALLASSEE, AL 36078-1263
(334) 283-3862
Mailing address
80 HERREN HILL RD, SUITE E, TALLASSEE, AL 36078-1263
(334) 283-3862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8344
AL
207RG0100X
Gastroenterology Physician
Primary
8344
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51509833
BLUE CROSS OF ALABAMA
AL
05
—
529912510
—
AL
Enumeration date
02/04/2006
Last updated
06/13/2011
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