Organization
THOMAS D BIANCHI M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D BIANCHI M.D. (OWNER)
(334) 283-3862
Entity
Organization
Contact information
Practice address
80 HERREN HILL RD, SUITE E, TALLASSEE, AL 36078-1263
(334) 283-3862
(334) 283-3871
Mailing address
80 HERREN HILL RD, SUITE E, TALLASSEE, AL 36078-1263
(334) 283-3862
(334) 283-3871
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8344
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912510
—
AL
Enumeration date
06/11/2007
Last updated
06/13/2011
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