Healthcare Provider Details

I. General information

NPI: 1093959181
Provider Name (Legal Business Name): CHAD ALAN THORNHILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CLINCH AVENUE SUITE 420
KNOXVILLE TN
37916
US

IV. Provider business mailing address

PO BOX 15004
KNOXVILLE TN
37901-5004
US

V. Phone/Fax

Practice location:
  • Phone: 865-824-0083
  • Fax: 865-246-7565
Mailing address:
  • Phone: 865-541-8895
  • Fax: 865-633-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number54007
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: