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Individual

THOMAS JAMES SMALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1101 W JEFFERSON ST, STE H, FRANKLIN, IN 46131-2184
(317) 736-9655
(317) 738-0922
Mailing address
1101 W JEFFERSON ST, STE H, FRANKLIN, IN 46131-2184
(317) 736-9655
(317) 738-0922

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25451
IN
207P00000X
Emergency Medicine Physician
Primary
01025451A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
0102451A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100154600A
IN
Enumeration date
06/14/2005
Last updated
09/27/2022
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