Organization
THOMASVILLE REGIONAL MEDICAL ASSOCIATES LLC
Active
Other names
Thomasville Regional Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA BRICKNER (CONTROLLER)
(205) 903-2392
Entity
Organization
Contact information
Practice address
300 MED PARK DRIVE, MOB, SUITE B, THOMASVILLE, AL 36784
(205) 903-2392
Mailing address
1200 CORPORATE DR STE 470, HOOVER, AL 35242-2941
(205) 903-2392
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
02/07/2022
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