Individual
THOMAS PAUL MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1312 44TH AVE, GULFPORT, MS 39501-2552
(228) 538-5858
(228) 539-8327
Mailing address
1312 44TH AVE, GULFPORT, MS 39501-2552
(228) 822-6160
(228) 539-8327
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13995
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118131
—
MS
Enumeration date
07/20/2006
Last updated
06/10/2020
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