Individual
MR. WILLIAM R. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7712 OLD CANTON RD, SUITE A, MADISON, MS 39110-9299
(601) 898-1828
(601) 326-3645
Mailing address
7712 OLD CANTON RD, SUITE A, MADISON, MS 39110-9299
(601) 898-1828
(601) 326-3645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1151
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120315
—
MS
01
—
650020488
MEDICARE RAILROAD
MS
Enumeration date
06/22/2005
Last updated
10/04/2013
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