Thomas E. Thrush, MD

Individual provider Active NPI Emergency Medicine Physician · Centerville, TN

NPI 1205050002 · NPPES record last updated Mar 30, 2011

Key facts

NPI
1205050002
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
18104 (TN)
Practice address
135 E Swan St
Centerville, TN 37033-1417
Phone
(931) 729-4271
Fax
(931) 729-6793
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18104 TN Yes

Addresses

Primary practice location

135 E Swan St
Centerville, TN 37033-1417

Mailing address

135 E Swan St
Centerville, TN 37033-1417
Phone (931) 729-4271

Other providers in Centerville, TN

All providers in Centerville, TN · Emergency Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.