Individual
THOMAS WARD THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
103217
MN
207X00000X
Orthopaedic Surgery Physician
Primary
39600
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800533
—
MS
05
—
05654509
—
MS
05
—
100171975
—
MS
05
—
1514492
—
TN
05
—
178280001
—
AR
Enumeration date
01/04/2007
Last updated
10/06/2022
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