Healthcare Provider Details

I. General information

NPI: 1336404037
Provider Name (Legal Business Name): THOMAS R DEMPSEY, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4638 BIT AND SPUR RD
MOBILE AL
36608-2646
US

IV. Provider business mailing address

4638 BIT AND SPUR RD
MOBILE AL
36608-2646
US

V. Phone/Fax

Practice location:
  • Phone: 251-378-0200
  • Fax: 251-378-0206
Mailing address:
  • Phone: 251-378-0200
  • Fax: 251-378-0206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MADELINE HATCH
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 251-378-0200