Green, Thomas W

Green, Thomas W is an individual health care provider with primary practice located at 1 Medical Park Blvd Ste 450W, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Thomas W can be contacted via phone (423) 968-3713.

Contact Information

Primary practice address
1 Medical Park Blvd Ste 450W Bristol TN 37620-7430
Phone: (423) 968-3713
Fax: (423) 968-7352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 009980 Tennessee

Profile Details

NPI number 1932106093
LBN Legal business name Green, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932106093 NPPES
Virgin Islands MEDICAID 6016910
Virgin Islands Other 014531
Virgin Islands Other 3037795

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