Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD.32476 | AL |
N | 111NI0900X | Internist | MD.32476 | AL |
Y | 207RR0500X | Rheumatology | 32476 | AL |
N | 207RR0500X | Rheumatology | MD038082 | DC |
NPI | 1073725875 |
---|---|
Provider Name | Dr. Christie Susan Thomas |
First Address | Huntsville, AL 35801-4414 |
Second Address | Huntsville, AL 35801-4414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 24/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102I111117 | (02) | AL |
149494 | (05) | AL |