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General NPI Number Information
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NPI Number | 1710994637
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Entity Type | Individual
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Provider Name | THOMAS W MCDONALD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 1630 DOWNTOWN WEST BLVD SUITE 119
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City | KNOXVILLE
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State | TN
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Zip | 37919
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Country | US
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Telephone | 865-637-6999
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Fax | 865-637-6987
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Provider Business Mailing Address
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Address Line | PO BOX 11405
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City | KNOXVILLE
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State | TN
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Zip | 37939
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Country | US
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Telephone | 865-637-6999
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Fax | 865-637-6987
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD017268
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 01077677A
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License Number State | IN
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