Individual
DR. MARTIN L THOMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
(601) 255-0735
Mailing address
109 MILLSAPS DR, STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
(601) 255-0735
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
17963
AL
207W00000X
Ophthalmology Physician
28079
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
28079
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05713
BLUE CROSS
AL
01
—
0800277
UNITED HEALTH CARE
AL
05
—
529403900
—
AL
01
—
F55089
HEALTH SPRING
AL
Enumeration date
12/14/2005
Last updated
11/04/2020
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