Healthcare Provider Details
I. General information
NPI: 1134494784
Provider Name (Legal Business Name): THOMAS STRICKER MD/PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/15/2012
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4488 CAROTHERS PKWY STE 310
FRANKLIN TN
37067-6703
US
IV. Provider business mailing address
2004 HAYES ST STE 800
NASHVILLE TN
37203-2659
US
V. Phone/Fax
- Phone: 615-986-4330
- Fax:
- Phone: 615-329-0570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0101X |
| Taxonomy | Anatomic Pathology Physician |
| License Number | 036.121218 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0101X |
| Taxonomy | Anatomic Pathology Physician |
| License Number | MD48823 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: