Healthcare Provider Details

I. General information

NPI: 1396798302
Provider Name (Legal Business Name): SAINT THOMAS MEDICAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STEAM PLANT RD SUITE 300
GALLATIN TN
37066-3032
US

IV. Provider business mailing address

501 GREAT CIRCLE RD SUITE 200
NASHVILLE TN
37228-1317
US

V. Phone/Fax

Practice location:
  • Phone: 615-230-8070
  • Fax: 615-452-1774
Mailing address:
  • Phone: 615-230-8070
  • Fax: 615-452-1774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number0000000544
License Number StateTN

VIII. Authorized Official

Name: DR. ALTON SID KING JR.
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 615-230-8070