# THOMAS H NELSON MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104992544
- **Authorized official:** THOMAS H NELSON M.D. (OWNER)
- **Authorized official phone:** (731) 665-7741

## Contact information

- **Practice address:** 104 E MAIN ST, RUTHERFORD, TN 38369-9711
- **Practice address phone:** (731) 665-7741
- **Practice address fax:** (731) 855-3273
- **Mailing address:** 17 QUAIL RDG, TRENTON, TN 38382-4000
- **Mailing address phone:** (731) 665-7741
- **Mailing address fax:** (731) 855-3273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | 29728 | TN | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 03/03/2016