Individual
KATHERINE A THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5006
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10074582
TX
207RH0003X
Hematology & Oncology Physician
Primary
33525
MS
Other
Enumeration date
05/02/2021
Last updated
07/30/2024
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