MEDICARE: THOMAS CARTER TOWNE 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	207RG0100X	Gastroenterology Physician	MD0000010826	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700888385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS CARTER TOWNE M.D.

Provider Business Mailing Address
First Line	:	8000 WOLF RIVER BLVD
Second Line	:	SUITE 200
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1727
Country	:	US
Telephone Number	:	901-747-3630
Fax Number	:	901-747-4039

Provider Business Practice Location Address
First Line	:	8000 WOLF RIVER BLVD
Second Line	:	SUITE 200
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1727
Country	:	US
Telephone Number	:	901-747-3630
Fax Number	:	901-747-4039

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	12/05/2012

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Directions to “ THOMAS CARTER TOWNE M.D.” Practice Location

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