Fred Godwin Thomason in Memphis - Psychiatry
Fred Godwin Thomason - NPI 1033128848
Fred Godwin Thomason is a Psychiatry in Memphis, Tennessee. Fred Godwin Thomason practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Fred Godwin Thomason is 1033128848. The last update date is 2007-07-09.
Fred Godwin Thomason's current location address is 5515 Shelby Oaks Dr, Memphis, Tennessee. You can contact this provider via phone number 9012527718 and fax number 9012527680. The mailing address for Fred Godwin Thomason is 5515 Shelby Oaks Dr, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Godwin Thomason |
|---|---|
| Address | 5515 Shelby Oaks Dr, Memphis, Tennessee |
| Phone Number | 9012527718 |
| Fax Number | 9012527680 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033128848 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5515 Shelby Oaks Dr |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381347316 |
| Phone Number | 9012527718 |
| Fax Number | 9012527680 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 12324 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3183887 | TN | -- | |
| 70712 | MS | -- | |
| 11150 | MS | -- |
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What is the unique provider identifier assigned to Fred Godwin Thomason?
The Fred Godwin Thomason has been issued the NPI (National Provider Identifier) 1033128848 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Fred Godwin Thomason located?
The Fred Godwin Thomason is located at 5515 Shelby Oaks Dr, Memphis, TN 381347316.
What is Fred Godwin Thomason's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fred Godwin Thomason's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033128848 to Fred Godwin Thomason?
The Centers for Medicare & Medicaid Services originally issued the 1033128848 to Fred Godwin Thomason on 2006-08-08.
As of what date were the details pertaining to Fred Godwin Thomason last refreshed?
The information related to the Fred Godwin Thomason, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM