Individual provider · Type 1 NPI
Thomas Francis Boduch, MD
General Practice Physician · Kingston, TN
NPI number
1770588741
Active
Practice location
314 E Spring St
Kingston, TN 37763-2839
Fax (865) 376-0010
Mailing address
PO Box 1030
Kingston, TN 37763-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 14330 (TN) |
| General Practice Physician Primary | 208D00000X | MD0000014330 (TN) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Kingston
About NPI 1770588741
Thomas Francis Boduch, MD's National Provider Identifier is 1770588741, issued on Jun 16, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kingston, TN. The record was last updated on Jan 10, 2012.