Individual
DOUGLAS F THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 579-5444
(601) 579-3459
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5444
(601) 579-3459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05854
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015334
—
MS
05
—
1455504
—
LA
01
—
1558982
AMERICAN ADMIN GROUP
MS
Enumeration date
08/29/2006
Last updated
03/30/2009
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