Individual
MR. THOMAS E INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 CHADWICK DR, SUITE 109, JACKSON, MS 39204-3471
(601) 373-9001
(601) 371-0208
Mailing address
1920 CHADWICK DR, SUITE 109, JACKSON, MS 39204-3471
(601) 373-9001
(601) 371-0208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014418
—
MS
Enumeration date
03/01/2007
Last updated
04/26/2026
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