Individual
IMMACULATE THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 977-5760
(865) 977-4788
Mailing address
PO BOX 4156, MARYVILLE, TN 37802-4156
(865) 271-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56819
TN
Other
Enumeration date
09/02/2012
Last updated
10/02/2023
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