Provider Demographics
NPI:1417965120
Name:LAMKIN, THOMAS GRIFFIN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GRIFFIN
Last Name:LAMKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1009 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-824-2263
Mailing Address - Fax:205-824-2227
Practice Address - Street 1:1009 MONTGOMERY HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-824-2263
Practice Address - Fax:205-824-2227
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL3879207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529913330Medicaid
AL529913330Medicaid
ALC75206Medicare UPIN