Individual
THOMAS R. BORTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD12631
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511390
—
TN
05
—
1710981105
—
VA
01
—
P01081052
RAILROAD MEDICARE
TN
Enumeration date
06/13/2005
Last updated
01/30/2017
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