Individual
THOMAS VINCENT RECORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-0000
Mailing address
PO BOX 316, WHITFIELD, MS 39193-0316
(919) 599-0829
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
24449
MS
2084P0800X
Psychiatry Physician
24449
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2011
Last updated
01/06/2023
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