Healthcare Provider Details
I. General information
NPI: 1174793020
Provider Name (Legal Business Name): CHRISTOPHER JAMES THOMSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/06/2008
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 SUMMIT PL
BIRMINGHAM AL
35243-3105
US
IV. Provider business mailing address
400 SUMMIT PL
BIRMINGHAM AL
35243-3105
US
V. Phone/Fax
- Phone: 205-972-3845
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | 206130 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: