MEDICARE: STEVEN M THOMAS MD PC

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	207W00000X	Ophthalmology Physician	9966	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

General Provider Information

NPI Number	:	1992834931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN M THOMAS MD PC

Provider Business Mailing Address
First Line	:	PO BOX 968
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37401-0968
Country	:	US
Telephone Number	:	423-778-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 MORRISON SPRINGS RD
Second Line	:	SUITE 301
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-3402
Country	:	US
Telephone Number	:	423-778-2020
Fax Number	:	423-778-3500

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN M THOMAS
Credential	:	MD
Telephone Number	:	423-778-2020

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

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