Individual
THOMAS K SLIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 HIGHWAY 61 N, VICKSBURG, MS 39183-8246
(601) 883-3340
Mailing address
104 MCAULEY DR, VICKSBURG, MS 39183-2825
(601) 638-7271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11047
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120912
—
MS
05
—
1557226
—
LA
01
—
5618702
AETNA
MS
Enumeration date
07/05/2006
Last updated
09/14/2020
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