Individual
DR. THOMAS HARGRAVE CABELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3000 OLD CANTON RD, SUITE 405, JACKSON, MS 39216-4200
(601) 362-2332
(601) 362-2436
Mailing address
3000 OLD CANTON RD, SUITE 405, JACKSON, MS 39216-4200
(601) 362-2332
(601) 362-2436
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
06706
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082945230
MEDICARE PTAN
MS
Enumeration date
08/16/2006
Last updated
06/10/2010
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