Individual
THOMAS W WESSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 BRUNSON DR, TUPELO, MS 38801-4947
(662) 842-7372
(662) 680-3091
Mailing address
612 BRUNSON DR, TUPELO, MS 38801-4947
(662) 842-7372
(662) 680-3091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
05862
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014692
—
MS
Enumeration date
01/30/2007
Last updated
07/08/2007
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