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Individual

DR. THOMAS LAMAR YEARWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PHD

Contact information

Practice address
4105 HOSPITAL ST, SUITE 112A, PASCAGOULA, MS 39581-5312
(228) 938-0700
(228) 938-0705
Mailing address
61 WHITE AVE, FAIRHOPE, AL 36532-1317
(228) 627-5192

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
11988
MS
208VP0014X
Interventional Pain Medicine Physician
15545
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-14252
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
07/17/2006
Last updated
02/20/2019
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