Healthcare Provider Details

I. General information

NPI: 1841853108
Provider Name (Legal Business Name): THOMAS HUNTER LINDSEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 SAINT LUKES DR
MONTGOMERY AL
36117-7111
US

IV. Provider business mailing address

850 PETER BRYCE BLVD
TUSCALOOSA AL
35401-7457
US

V. Phone/Fax

Practice location:
  • Phone: 334-213-3606
  • Fax: 334-213-3608
Mailing address:
  • Phone: 205-348-1770
  • Fax: 205-348-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberDO.2426
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.2426
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: