Individual
THOMAS JAMES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16982
KY
207R00000X
Internal Medicine Physician
MD014285E
PA
208000000X
Pediatrics Physician
MD014285E
PA
Other
Enumeration date
04/20/2006
Last updated
10/05/2020
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