Individual
THOMAS H. MOSLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS, JACKSON, MS 39216-4500
(601) 984-5610
Mailing address
P.O. BOX 24146, UNIVERSITY PHYSICIANS, PLLC, JACKSON, MS 39225-4146
(601) 984-5610
(601) 984-5783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32477
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112548
—
MS
01
—
RR 680003439
RAILROAD
MS
Enumeration date
07/25/2006
Last updated
06/23/2009
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