Healthcare Provider Details

I. General information

NPI: 1821531096
Provider Name (Legal Business Name): MS. CYNTHIA D. THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 11/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 44TH PL N # B
BIRMINGHAM AL
35212-2143
US

IV. Provider business mailing address

911 44TH PL N # B
BIRMINGHAM AL
35212-2143
US

V. Phone/Fax

Practice location:
  • Phone: 513-668-8385
  • Fax:
Mailing address:
  • Phone: 513-668-8385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number141689
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: