Individual
CATHERINE M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
66 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 544-7500
(601) 544-7524
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 456-0249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17738
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126802
—
MS
01
—
11349864
CAQH ID NUMBER
MS
01
—
1741356
UNITED HEALTH CARE PROVIDER I D NUMBER
MS
01
—
7445541
AETNA
MS
Enumeration date
11/10/2005
Last updated
07/08/2015
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