Provider Demographics
NPI:1750484804
Name:SMITHERMAN, THOMAS JAMES III (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
Last Name:SMITHERMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:30 RACQUET CLUB PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-6185
Mailing Address - Country:US
Mailing Address - Phone:205-664-0880
Mailing Address - Fax:
Practice Address - Street 1:30 RACQUET CLUB PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-6185
Practice Address - Country:US
Practice Address - Phone:205-620-1090
Practice Address - Fax:205-620-1153
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2021-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00012826207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALTS000081311Medicaid