Individual
THOMAS C GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620-7430
(423) 844-6620
(423) 844-6627
Mailing address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620-7430
(423) 844-6620
(423) 844-6627
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075170
BCBS OF TENNESSEE
TN
01
—
020029717
MCRAILROAD/GROUP#CA8128
TN
01
—
022276800
BLACK LUNG GROUP
TN
01
—
045124
INDIV ANTHEM/GROUP#093410
TN
01
—
0636398
UMWA GROUP
TN
05
—
3191927
—
TN
01
—
4546131
AETNA
TN
05
—
7355327
—
VA
01
—
F03906748
CHAMPUS GROUP
TN
01
—
TN0105
JOHN DEERE NOW UNITED HC
TN
Enumeration date
09/13/2006
Last updated
06/16/2014
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