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Individual

DR. THOMAS A ATHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,M.P.H

Contact information

Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(334) 418-4975
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(334) 418-4975

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
038424
GA
207Q00000X
Family Medicine Physician
Primary
12282
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00630737A
GA
Enumeration date
03/09/2007
Last updated
09/27/2011
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