Internal Medical Clinic of Thomasville, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC

Practice address

411 Wilson Ave W
Thomasville, AL 36784-2015

Phone

(334) 636-5696

Fax

(334) 636-0086

NPI assigned

Oct 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Judy A Moore

Title

Insurance Clerk

Phone

(334) 636-0793

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1295923076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WILSON AVE W",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367842015",
            "telephone_number": "334-636-5696",
            "fax_number": "334-636-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WILSON AVE W",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367842015",
            "telephone_number": "334-636-5696",
            "fax_number": "334-636-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "334-636-0793",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Thomasville, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.