Individual
THOMAS ZACHARY DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
401 5TH AVENUE EAST, TUSCALOOSA, AL 35401
(205) 348-3904
(205) 348-4980
Mailing address
401 5TH AVENUE EAST, TUSCALOOSA, AL 35401
(205) 348-3904
(205) 348-4980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1779
AL
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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