Individual
DR. THOMAS NICHOLS SKELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27073
MS
207RC0000X
Cardiovascular Disease Physician
Primary
27073
MS
208000000X
Pediatrics Physician
27073
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2017
Last updated
03/03/2024
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