INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC NPI 1295923076

Internal Medicine in Thomasville, AL

NPI 1295923076 Organization Internal Medicine

About INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC

Internal Medical Clinic Of Thomasville, Llc is an internal medicine provider established in Thomasville, Alabama specializing in internal medicine. The NPI number of Internal Medical Clinic Of Thomasville, Llc is 1295923076 and was assigned on October 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Internal Medical Clinic Of Thomasville, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Judy A Moore (Insurance Clerk)

An internist like Internal Medical Clinic Of Thomasville, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1295923076

Provider NameINTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC
Provider Location Address411 WILSON AVE W THOMASVILLE, AL 36784
Provider Mailing Address411 WILSON AVE W THOMASVILLE, AL 36784
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-05-2007
Last Update Date10-08-2007


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC
411 WILSON AVE W
THOMASVILLE, AL
ZIP 36784
Phone: (334) 636-5696
Fax: (334) 636-0086

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Mailing Address

INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC
411 WILSON AVE W
THOMASVILLE, AL
ZIP 36784
Phone: (334) 636-5696
Fax: (334) 636-0086



Authorized Official

Authorized Official NameMRS. JUDY A MOORE
Authorized Official TitleINSURANCE CLERK
Authorized Official Phone(334) 636-0793

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811135890LINDA K DAVENPORT MD P L L C
Organization
Family Medicine411 WILSON AVE W
THOMASVILLE, AL 36784
(334) 636-2258
1134703283RURAL HEALTH MEDICAL PROGRAM, INC
Organization
Family Medicine411 WILSON AVE W
THOMASVILLE, AL 36784
(334) 874-7428

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.