Organization
TUSCALOOSA FOCUS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS MD (OWNER)
(205) 301-2837
Entity
Organization
Contact information
Practice address
720 ENERGY CENTER BLVD, STE 504, NORTHPORT, AL 25473-2794
(205) 301-2837
(205) 543-5530
Mailing address
PO BOX 8159, MOBILE, AL 36689-0159
(251) 414-5810
(251) 414-5809
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152344
—
AL
Enumeration date
07/24/2013
Last updated
10/11/2013
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