Healthcare Provider Details

I. General information

NPI: 1720077910
Provider Name (Legal Business Name): PAUL AUSTIN THOMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 CAROTHERS PKWY STE 201
FRANKLIN TN
37067-5973
US

IV. Provider business mailing address

206 BEDFORD WAY
FRANKLIN TN
37064-5526
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-2630
  • Fax: 615-791-2639
Mailing address:
  • Phone: 615-790-3290
  • Fax: 615-794-8845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number16490
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD16188
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: