Provider Demographics
NPI:1124451216
Name:FRIST, THOMAS F JR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:FRIST
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2501 PARK PLZ BLDG 1
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1512
Mailing Address - Country:US
Mailing Address - Phone:615-344-2670
Mailing Address - Fax:615-344-2015
Practice Address - Street 1:2501 PARK PLZ BLDG 1
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1512
Practice Address - Country:US
Practice Address - Phone:615-344-2670
Practice Address - Fax:615-344-2015
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000005597207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD0000005597OtherMEDICAL LICENSE