Provider Demographics
NPI:1518981562
Name:MORGAN, THOMAS EDMONDS (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDMONDS
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 19TH STREET
Mailing Address - Street 2:SUITE 509
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1853
Mailing Address - Country:US
Mailing Address - Phone:865-524-3208
Mailing Address - Fax:865-522-4322
Practice Address - Street 1:501 19TH STREET
Practice Address - Street 2:SUITE 509
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1853
Practice Address - Country:US
Practice Address - Phone:865-524-3208
Practice Address - Fax:865-522-4322
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN7829207VX0201X
TNMD000007829207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3196014Medicaid
TNB60453Medicare UPIN
TN3196014Medicaid
B60453Medicare UPIN