Thomas C Prince Jr MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THOMAS C PRINCE JR MD INC

Practice address

2001 Laurel Ave
Suite 405
Knoxville, TN 37916-1810

Phone

(865) 522-5101

Fax

(865) 541-1949

NPI assigned

Aug 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Chafer Prince Jr., MD

Title

Owner

Phone

(865) 522-5101

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1174532758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 405",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-522-5101",
            "fax_number": "865-541-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 405",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-522-5101",
            "fax_number": "865-541-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C PRINCE JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHAFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-522-5101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376450",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2006816",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH & LIFE",
            "identifier": "477775",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anna Thomas, FNP-BC

• General Practice Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.