Individual
THOMAS C MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1870
Mailing address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23838
TN
207Q00000X
Family Medicine Physician
23828
TN
207R00000X
Internal Medicine Physician
Primary
23828
TN
208000000X
Pediatrics Physician
23828
TN
208100000X
Physical Medicine & Rehabilitation Physician
23838
TN
2085R0202X
Diagnostic Radiology Physician
23828
TN
208600000X
Surgery Physician
23828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4118454
BCBS
TN
Enumeration date
01/26/2006
Last updated
06/14/2024
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