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NPI Code Detail

MEDICARE: THOMAS C MCDONALD MD

MEDICARE: THOMAS C MCDONALD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician23828TN
2207P00000XEmergency Medicine Physician23838TN
3207Q00000XFamily Medicine Physician23828TN
4208000000XPediatrics Physician23828TN
5208100000XPhysical Medicine & Rehabilitation Physician23838TN
62085R0202XDiagnostic Radiology Physician23828TN
7208600000XSurgery Physician23828TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14118454OTHERTNBCBS

General Provider Information

NPI Number : 1124098488
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS C MCDONALD MD
Provider Business Mailing Address
First Line : 200 W CHURCH ST
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-2038
Country : US
Telephone Number : 731-968-3646
Fax Number : 731-968-1870
Provider Business Practice Location Address
First Line : 200 W CHURCH ST
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-2038
Country : US
Telephone Number : 731-968-3646
Fax Number : 731-968-1870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 06/14/2024

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1730156423 — ERIC R TELFER M.D.
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38351-2038
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Directions to “ THOMAS C MCDONALD MD” Practice Location

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