Individual
MICHAEL C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 CENTRAL PIKE, SUITE 555, HERMITAGE, TN 37076-3419
(615) 874-9667
(615) 871-9682
Mailing address
356 24TH AVE N, SUITE 300, NASHVILLE, TN 37203-1514
(615) 292-5722
(615) 346-6225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13976MD
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056839
BCBS
—
01
—
007930
HEALTHSPRING
TN
01
—
021101458
MEDICARE RR
—
01
—
125537291831
HUMANA
TN
01
—
1740238
UNITED HEALTHCARE
—
05
—
3020078
—
TN
01
—
621278261
TN CARE SELECT
—
01
—
6212782610002
CIGNA
TN
01
—
62127826137076A001
TRICARE
TN
01
—
681009
AETNA
—
Enumeration date
06/30/2006
Last updated
09/12/2011
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