Provider Demographics
NPI:1659481588
Name:THOMASVILLE INTERNAL MEDICINE
Entity Type:Organization
Organization Name:THOMASVILLE INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THAKORBHAI
Authorized Official - Middle Name:B
Authorized Official - Last Name:DARJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-636-1840
Mailing Address - Street 1:33650 HIGHWAY 43
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-3336
Mailing Address - Country:US
Mailing Address - Phone:334-636-1840
Mailing Address - Fax:334-636-2942
Practice Address - Street 1:33650 HIGHWAY 43
Practice Address - Street 2:SUITE 200
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-3336
Practice Address - Country:US
Practice Address - Phone:334-636-1840
Practice Address - Fax:334-636-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty