Individual
DAISY MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 CCC ROAD, BELZONI, MS 39038
(662) 247-3831
Mailing address
500 CCC ROAD, BELZONI, MS 39038
(662) 247-3831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07839
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018415
—
MS
Enumeration date
03/05/2007
Last updated
03/07/2023
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