Organization
MICHAEL THOMAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C THOMAS M.D. (PRESIDENT)
(615) 871-4904
Entity
Organization
Contact information
Practice address
5651 FRIST BLVD, SUITE 709, HERMITAGE, TN 37076-2054
(615) 871-4904
(615) 871-9682
Mailing address
5651 FRIST BLVD, SUITE 709, HERMITAGE, TN 37076-2054
(615) 871-4904
(615) 871-9682
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13976MD
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007930
HEALTHSPRING
TN
01
—
0056839
BCBS
TN
01
—
01053986
AMERIGROUP
TN
01
—
125537291831
HUMANA
TN
01
—
1740238
UNITED HEALTHCARE
TN
05
—
3020078
—
TN
01
—
681009
AETNA
TN
01
—
A98376
BEECH ST
TN
Enumeration date
02/26/2008
Last updated
04/20/2008
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