Organization
TOM MCDONALD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHRISTOPHER MCDONALD M.D. (OWNER)
(731) 968-9965
Entity
Organization
Contact information
Practice address
270 W CHURCH ST, SUITE A, LEXINGTON, TN 38351-2077
(731) 968-9965
(731) 968-1940
Mailing address
270 W CHURCH ST, SUITE A, LEXINGTON, TN 38351-2077
(731) 968-9965
(731) 968-1940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000023828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G709057
MEDICARE PTAN
TN
05
—
3725379
—
TN
01
—
4349329
BCBS
TN
Enumeration date
08/01/2013
Last updated
11/08/2013
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