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Individual

DR. THOMAS JACKSON THOMASSON IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30098
AL
207XX0801X
Orthopaedic Trauma Physician
30098
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116836
AL
01
1962603084
TRICARE
AL
01
51120538
BCBS
AL
01
9826470
AETNA
AL
01
Z12047
VIVA HEALTHCARE
AL
Enumeration date
05/29/2007
Last updated
05/01/2024
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