Organization
THOMAS C PRINCE JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CHAFER PRINCE JR. MD (OWNER)
(865) 522-5101
Entity
Organization
Contact information
Practice address
2001 LAUREL AVE, SUITE 405, KNOXVILLE, TN 37916-1810
(865) 522-5101
(865) 541-1949
Mailing address
2001 LAUREL AVE, SUITE 405, KNOXVILLE, TN 37916-1810
(865) 522-5101
(865) 541-1949
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006816
BLUE CROSS
TN
05
—
3376450
—
TN
01
—
477775
FIRST HEALTH & LIFE
TN
Enumeration date
08/05/2006
Last updated
12/11/2007
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