MEDICARE: DR. FRANK E THOMAS JR. M.D.

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
1	207R00000X	Internal Medicine Physician	MD7272	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4052117	OTHER	TN	BLUE CROSS BLUE SHIELD TN

General Provider Information

NPI Number	:	1639162944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK E THOMAS JR. M.D.

Provider Business Mailing Address
First Line	:	1203A MEMORIAL BLVD
Second Line	:	SUITE 2
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2420
Country	:	US
Telephone Number	:	615-895-4855
Fax Number	:	615-895-8939

Provider Business Practice Location Address
First Line	:	1203A MEMORIAL BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2420
Country	:	US
Telephone Number	:	615-895-4855
Fax Number	:	615-895-8939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/07/2011

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