Provider Demographics
NPI:1285740183
Name:THOMAS, CORNELIUS B JR (MD)
Entity type:Individual
Prefix:DR
First Name:CORNELIUS
Middle Name:B
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:880 MONTCLAIR RD
Mailing Address - Street 2:STE 470 MONTCLAIR RHEUMATOLOGY PC
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213
Mailing Address - Country:US
Mailing Address - Phone:205-591-2758
Mailing Address - Fax:205-592-0318
Practice Address - Street 1:880 MONTCLAIR RD
Practice Address - Street 2:STE 470 MONTCLAIR RHEUMATOLOGY PC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213
Practice Address - Country:US
Practice Address - Phone:205-591-2758
Practice Address - Fax:205-592-0318
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-09-25
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Provider Licenses
StateLicense IDTaxonomies
AL00008825207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C74211Medicare UPIN
AL000002964Medicare UPIN