Individual
DAVA R THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
540 CENTRAL AVE, LAUREL, MS 39440
(601) 580-2513
Mailing address
14 DOCS LN, ELLISVILLE, MS 39437-6081
(601) 580-7042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
908400
MS
363LF0000X
Family Nurse Practitioner
Primary
908400
MS
Other
Enumeration date
05/06/2026
Last updated
05/14/2026
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