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Organization
THOMAS UROLOGY CLINIC PLLC
Active
Organization
THOMAS UROLOGY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R THOMAS MD (OWNER)
(662) 615-3756
Entity
Organization
Contact information
Practice address
109 DOCTORS PARK, STARKVILLE, MS 39759-2174
(662) 615-3756
Mailing address
109 DOCTORS PARK, STARKVILLE, MS 39759-2174
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21408
MS
Other
Enumeration date
11/19/2015
Last updated
11/23/2015
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