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THOMAS FRAZEE FLEISCHHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 MEDICAL CENTER DR, TRI-LAKES MEDICAL CENTER, BATESVILLE, MS 38606-8608
(662) 563-5611
(662) 563-0155
Mailing address
303 MEDICAL CENTER DR, TRI-LAKES MEDICAL CENTER, BATESVILLE, MS 38606-8608
(662) 563-5611
(662) 563-0155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33653
NC
207R00000X
Internal Medicine Physician
Primary
19602
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07258508
MS
01
20450
CIGNA
NC
01
2118842
MAMSI
NC
01
680029
FIRST HEALTH
NC
01
70036
PARTNERS
NC
05
8932589
NC
01
BCBS
INDIV.
NC
01
C6798
MEDCOST
NC
Enumeration date
01/31/2007
Last updated
11/28/2007
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