Thomas C Prince Jr Md Inc | |
2001 Laurel Ave Suite 405 Knoxville TN 37916-1810 | |
(865) 522-5101 | |
(865) 541-1949 |
Full Name | Thomas C Prince Jr Md Inc |
---|---|
Speciality | General Practice |
Location | 2001 Laurel Ave, Knoxville, Tennessee |
Authorized Official Name and Position | Thomas Chafer Prince (OWNER) |
Authorized Official Contact | 8655225101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas C Prince Jr Md Inc 2001 Laurel Ave Suite 405 Knoxville TN 37916-1810 Ph: (865) 522-5101 | Thomas C Prince Jr Md Inc 2001 Laurel Ave Suite 405 Knoxville TN 37916-1810 Ph: (865) 522-5101 |
NPI Number | 1174532758 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 12/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174532758 | NPI | - | NPPES |
3376450 | Medicaid | TN | |
2006816 | Other | TN | BLUE CROSS |
477775 | Other | TN | FIRST HEALTH & LIFE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (Tennessee) | Primary |
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