Aycock, Thomas

Aycock, Thomas is an individual health care provider with primary practice located at 2520 5Th St N , Columbus MS 39705-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Aycock, Thomas can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
2520 5Th St N Columbus MS 39705-2008
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9808 Mississippi

Profile Details

NPI number 1548203946
LBN Legal business name Aycock, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548203946 NPPES
Mississippi MEDICAID 00017855
Mississippi Other 73006358AYC
Mississippi Other P00191279

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