Individual
DR. THOMAS A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2117 BROADWAY DRIVE, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Mailing address
2117 BROADWAY DRIVE, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17185
MS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
17185
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124288
—
MS
05
—
009967635
—
AL
01
—
260049973
MEDICARE RAILRAOD
MS
Enumeration date
06/15/2006
Last updated
06/20/2025
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