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Individual

ASHLEY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2211 MOODY PKWY, MOODY, AL 35004-3014
(250) 352-2480
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-132177
AL
363LF0000X
Family Nurse Practitioner
Primary
1-132177
AL

Other

Enumeration date
09/22/2011
Last updated
03/08/2022
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