Provider Demographics
NPI:1871704882
Name:THOMASSON, JOSEPH RICHARD III (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:THOMASSON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1750 CEDAR LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-4759
Mailing Address - Country:US
Mailing Address - Phone:931-455-7779
Mailing Address - Fax:931-454-2376
Practice Address - Street 1:1750 CEDAR LN
Practice Address - Street 2:SUITE 100
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-4759
Practice Address - Country:US
Practice Address - Phone:931-455-7779
Practice Address - Fax:931-454-2376
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-05-18
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Provider Licenses
StateLicense IDTaxonomies
TN49357208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery