Individual
DR. THOMAS HANCOCK SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36369
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3877530
—
TN
05
—
3877536
—
TN
01
—
4037067
BLUE CROSS
TN
01
—
4049687
BLUE CROSS
TN
05
—
64072390
—
KY
01
—
P00208421
RAILROAD MEDICARE
TN
Enumeration date
07/10/2006
Last updated
11/07/2007
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