Individual
DR. ABY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-1000
(601) 815-0434
Mailing address
504 CLINTON CENTER DRIVE, STE 4300, CLINTON, MS 39056-5610
(601) 496-9524
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
972-L
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03954369
—
MS
Enumeration date
06/22/2017
Last updated
04/06/2022
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