Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 9436 | AL |
N | 111NI0900X | Internist | 9436 | AL |
Y | 207RN0300X | Nephrologist | 9436 | AL |
NPI | 1053383265 |
---|---|
Provider Name | Thomas Jefferson Stokes JR. |
First Address | Opelika, AL 36801-5442 |
Second Address | Opelika, AL 36801-5442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 18/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000019413 | (05) | AL |
000020520 | (05) | AL |
000020920 | (05) | AL |
000088821 | (05) | AL |
0000888818 | (05) | AL |
51019413 | BCBS OF AL DADEVILLE (01) | |
51019413 | BCBS OF AL OPELIKA (01) | |
51088818 | BCBS OF AL TUSKEGEE (01) | |
51088821 | BCBS OF AL LANGDALE (01) | |
51520520 | BCBS OF AL LAFAYETTE (01) | |
51520920 | BCBS OF AL AUBURN (01) | |
A12324 | (02) |