Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | MD41001 | TN |
N | 208800000X | Urologist | MD41001 | TN |
Y | 2088P0231X | Pediatric Urologist | MD41001 | TN |
NPI | 1295762797 |
---|---|
Provider Name | Dr. John C Thomas |
First Address | Nashville, TN 37232-8678 |
Second Address | Nashville, TN 37232-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
620476822 | TAX ID (01) |