Provider Demographics
NPI:1154696243
Name:THURMAN, ALEXANDER CLARK (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:CLARK
Last Name:THURMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 HATCHER LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4827
Mailing Address - Country:US
Mailing Address - Phone:931-388-0777
Mailing Address - Fax:931-388-1548
Practice Address - Street 1:1602 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4827
Practice Address - Country:US
Practice Address - Phone:931-388-0777
Practice Address - Fax:931-388-1548
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ55977207ZH0000X, 207ZP0102X
TN59026207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology