Mcdonald, Thomas

Mcdonald, Thomas is an individual health care provider with primary practice located at 4381 S Eason Blvd , Tupelo MS 38801-6584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mcdonald, Thomas can be contacted via phone (662) 377-5700.

Contact Information

Primary practice address
4381 S Eason Blvd Tupelo MS 38801-6584
Phone: (662) 377-5700
Fax: (662) 377-5720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 05000 Mississippi

Profile Details

NPI number 1144289182
LBN Legal business name Mcdonald, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1144289182 NPPES
Mississippi MEDICAID 09481320

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