Provider Demographics
NPI:1770878373
Name:THOMASON, DAVID JAMES (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JAMES
Last Name:THOMASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:27961 US HIGHWAY 98 STE 10
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4718
Mailing Address - Country:US
Mailing Address - Phone:251-626-0732
Mailing Address - Fax:251-272-1983
Practice Address - Street 1:27961 US HIGHWAY 98 STE 10
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4718
Practice Address - Country:US
Practice Address - Phone:251-626-0732
Practice Address - Fax:251-272-1983
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL32180208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation