Healthcare Provider Details

I. General information

NPI: 1164679411
Provider Name (Legal Business Name): SAINT THOMAS MEDICAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 CAROTHERS PARKWAY STE. 350
FRANKLIN TN
37067
US

IV. Provider business mailing address

PO BOX 501123
SAINT LOUIS MO
63150-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-4664
  • Fax:
Mailing address:
  • Phone: 615-284-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: EILEEN BROOKS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 615-284-1366