Individual
JASON AUSTIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(678) 956-2338
Mailing address
1855 LAKELAND DR APT 328, JACKSON, MS 39216-4929
(678) 956-2338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-5042
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2023
Last updated
08/28/2023
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