Individual
CODY R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1751 VETERANS DR STE 300, FLORENCE, AL 35630-4930
(256) 718-3200
(256) 246-3297
Mailing address
1751 VETERANS DR STE 300, FLORENCE, AL 35630-4930
(256) 718-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1513
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271896
—
AL
05
—
273018
—
AL
Enumeration date
06/23/2018
Last updated
02/07/2022
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