Provider Demographics
NPI:1326021544
Name:PAGE, THOMAS ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALAN
Last Name:PAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:307 E MEIGHAN BLVD
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1048
Mailing Address - Country:US
Mailing Address - Phone:256-543-2273
Mailing Address - Fax:256-543-2293
Practice Address - Street 1:307 E MEIGHAN BLVD
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1048
Practice Address - Country:US
Practice Address - Phone:256-543-2273
Practice Address - Fax:256-543-2293
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00024215207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51529764OtherBLUECROSS BLUESHIELD
ALH32244Medicare UPIN
AL51529764OtherBLUECROSS BLUESHIELD