Thomas, Cody R

Thomas, Cody R is an individual health care provider with primary practice located at 1751 Veterans Dr Ste 300 , Florence AL 35630-4930. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thomas, Cody R can be contacted via phone (256) 718-3200.

Contact Information

Primary practice address
1751 Veterans Dr Ste 300 Florence AL 35630-4930
Phone: (256) 718-3200
Fax: (256) 246-3297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1513 Alabama

Profile Details

NPI number 1619462546
LBN Legal business name Thomas, Cody R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2018
Last updated Feb 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619462546 NPPES
Alabama MEDICAID 273018
Alabama MEDICAID 271896

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