Individual
THOMAS MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4381 S EASON BLVD, TUPELO, MS 38801-6584
(662) 377-5700
(662) 377-5720
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
05000
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09481320
—
MS
Enumeration date
03/20/2006
Last updated
07/08/2007
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