Provider Demographics
NPI:1568453124
Name:MCLAUGHLIN, JAMES T (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1722 PINE ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1103
Mailing Address - Country:US
Mailing Address - Phone:334-262-0342
Mailing Address - Fax:334-262-0390
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:SUITE 309
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-262-0342
Practice Address - Fax:334-262-0390
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL11460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000062783OtherJACKSON HOSPITAL MC ID
AL000062783OtherJACKSON HOSP. TRICARE ID
AL000062783OtherJACKSON HOSP. MEDICAID ID
AL051062783OtherJACKSON HOSPITAL BCBS ID
AL11460OtherSTATE LICENSE
ALP00208629OtherJH RR MEDICARE ID
AL051019561Medicare PIN
AL051062783OtherJACKSON HOSPITAL BCBS ID