Individual
DR. THOMAS D MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 WILSON AVE, EUTAW, AL 35462-1136
(205) 372-1260
(205) 372-6145
Mailing address
607 WILSON AVE, EUTAW, AL 35462-1136
(205) 372-1260
(205) 372-6145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00009283
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000051551040
—
AL
05
—
167150
—
AL
05
—
170752
—
AL
01
—
51505225
BCBS
AL
Enumeration date
07/27/2006
Last updated
10/07/2015
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