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NPI Code Detail

MEDICARE: MR. THOMAS ANTHONY CHILTON LPC/MHSP

MEDICARE: MR. THOMAS ANTHONY CHILTON LPC/MHSP
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
1101YM0800XMental Health Counselor1819TN
2101YP2500XProfessional Counselor1819TN

General Provider Information

NPI Number : 1457598294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS ANTHONY CHILTON LPC/MHSP
Provider Business Mailing Address
First Line : 901 E SUMMIT HILL DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1200
Country : US
Telephone Number : 865-524-7483
Fax Number : 865-521-4206
Provider Business Practice Location Address
First Line : 901 E SUMMIT HILL DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1200
Country : US
Telephone Number : 865-524-7483
Fax Number : 865-521-4206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2009
Last Update Date : 01/15/2009

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