Thomas B Whitehead MD

NPI 1962512772 - Family Medicine - 207Q00000X

NPI Details
NPI 1962512772
Gender Male
Enumeration Date 08/30/2006
Last Updated 04/09/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
502 BROAD ST
COLUMBIA MS, 39429-3037, US
Phone (601) 736-8282
Fax (601) 736-8333
Business Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 736-8282
Fax (601) 736-8333
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 03966
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According to our database, Thomas B Whitehead MD NPI is 1962512772, taxonomy code is 207Q00000X and license number is 03966, license state is located at Mississippi. Thomas B Whitehead MD physically located at 502 Broad St, Columbia MS, 39429-3037. NPI Number Thomas B Whitehead MD has the Individual type.

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1962512772 NPI number is provided on an as is basis without warranty of any kind. 1962512772 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas B Whitehead MD are for informational purposes only.