Healthcare Provider Details

I. General information

NPI: 1518981562
Provider Name (Legal Business Name): THOMAS EDMONDS MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 19TH STREET SUITE 509
KNOXVILLE TN
37916-1853
US

IV. Provider business mailing address

501 19TH STREET SUITE 509
KNOXVILLE TN
37916-1853
US

V. Phone/Fax

Practice location:
  • Phone: 865-524-3208
  • Fax: 865-522-4322
Mailing address:
  • Phone: 865-524-3208
  • Fax: 865-522-4322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number7829
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberMD000007829
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: