Doctor Name: | DR. BRIDGET ANNE THILL |
NPI Number: | 1477549202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101225849 |
Business Practice Address: | 300 Twining Street Family Practice Clinic Maxwell Afb, AL - 36112 |
Business Phone Number: | 3349531714 |
Business Fax Number: | |
Mailing Address: | 300 South Twining Street, Family Practice Clinic MAXWELL AFB |
State: | AL |
Postal Code: | 36112 |
Phone Number: | 3349531714 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101225849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |