Provider Demographics
NPI:1285080309
Name:TRIPLETT, THOMAS MAX (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MAX
Last Name:TRIPLETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:251 S CLAYBROOK ST
Mailing Address - Street 2:SUITE A206
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3539
Mailing Address - Country:US
Mailing Address - Phone:817-999-7497
Mailing Address - Fax:901-516-7430
Practice Address - Street 1:UNIVERSITY OF TENNESSEE
Practice Address - Street 2:251 S CLAYBROOK ST SUITE A206
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3539
Practice Address - Country:US
Practice Address - Phone:901-516-7509
Practice Address - Fax:901-516-7430
Is Sole Proprietor?:No
Enumeration Date:2016-05-07
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN58645207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine