Individual
JORDAN C THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
132 ELIZABETH AVE, RIVER RIDGE, LA 70123-1808
(504) 762-9797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-4110
MS
Other
Enumeration date
07/01/2020
Last updated
05/24/2021
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