Provider Demographics
NPI:1558365544
Name:ALLISON, THOMAS M (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:ALLISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2700 10TH AVE S
Mailing Address - Street 2:STE 402
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1248
Mailing Address - Country:US
Mailing Address - Phone:205-933-0439
Mailing Address - Fax:205-939-1462
Practice Address - Street 1:2700 10TH AVE S
Practice Address - Street 2:STE 402
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1248
Practice Address - Country:US
Practice Address - Phone:205-933-0439
Practice Address - Fax:205-939-1462
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2009-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL7074207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000000080Medicaid
AL051048659OtherBC/BS
AL180000402OtherPALMETTO GPA RR MEDICARE
AL000000080Medicaid
AL180000402OtherPALMETTO GPA RR MEDICARE