Greene, Thomas C

Greene, Thomas C is an individual health care provider with primary practice located at 1 Medical Park Blvd 250 West, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Greene, Thomas C can be contacted via phone (423) 844-6620.

Contact Information

Primary practice address
1 Medical Park Blvd 250 West Bristol TN 37620-7430
Phone: (423) 844-6620
Fax: (423) 844-6627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9039 Tennessee

Profile Details

NPI number 1801991062
LBN Legal business name Greene, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jun 16th, 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 1801991062 NPPES
Virginia MEDICAID 7355327
Virginia Other 0075170
Virginia Other 022276800
Virginia MEDICAID 3191927
Virginia Other 4546131
Virginia Other F03906748
Virginia Other 020029717
Virginia Other 045124
Virginia Other 0636398
Virginia Other TN0105

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