Provider Demographics
NPI:1407838386
Name:THOMASON, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:THOMASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:312 ARNOLD ST NE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2911
Mailing Address - Country:US
Mailing Address - Phone:256-734-0606
Mailing Address - Fax:256-734-5525
Practice Address - Street 1:312 ARNOLD ST NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2911
Practice Address - Country:US
Practice Address - Phone:256-734-0606
Practice Address - Fax:256-734-5525
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10358208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0000236800Medicaid
AL000020088Medicare ID - Type Unspecified
AL000020088Medicaid