Individual
GARY L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9303 PARK WEST BLVD, STE 100, KNOXVILLE, TN 37923-4322
(865) 690-6451
Mailing address
1225 E WEISGARBER RD, STE 200N, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09333
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110136883
RR MEDICARE
TN
05
—
3166204
—
TN
Enumeration date
06/21/2006
Last updated
04/29/2008
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