Organization
THOMAS H NELSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H NELSON M.D. (OWNER)
(731) 665-7741
Entity
Organization
Contact information
Practice address
104 E MAIN ST, RUTHERFORD, TN 38369-9711
(731) 665-7741
(731) 855-3273
Mailing address
17 QUAIL RDG, TRENTON, TN 38382-4000
(731) 665-7741
(731) 855-3273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
29728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3235325
MEDICARE TN
TN
05
—
3235325
—
TN
01
—
4134362
BCBS TN
TN
Enumeration date
11/28/2006
Last updated
03/03/2016
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