Individual
DR. THOMAS RISDON SCALES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 VANDERBILT PL STE 200B, NASHVILLE, TN 37212-2518
(615) 560-7343
Mailing address
105 WESTPARK DR STE 410, BRENTWOOD, TN 37027-5674
(615) 219-5990
(615) 219-5990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000036454
TN
2084P0800X
Psychiatry Physician
Primary
0000036454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508618
—
TN
01
—
331013250
AETNA PROVIDER NUMBER
TN
01
—
3765833
CIGNA PROVIDER NUMBER
TN
01
—
4045509
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
01/24/2007
Last updated
01/26/2023
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