Individual
THOMAS A TRUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
410 N STATE OF FRANKLIN RD, SUITE 120, JOHNSON CITY, TN 37604-6971
(423) 431-2350
(423) 431-2372
Mailing address
410 N STATE OF FRANKLIN RD, SUITE 120, JOHNSON CITY, TN 37604-6971
(423) 431-2350
(423) 431-2372
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA00006
TN
363AS0400X
Surgical Physician Assistant
Primary
PA00006
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932165610
—
VA
05
—
3665749
—
TN
01
—
4074733
BCBS
TN
01
—
4074736
BCBS
TN
05
—
Q003380
—
TN
01
—
TN01R7
JOHN DEERE
TN
Enumeration date
04/22/2006
Last updated
02/27/2017
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