Thames, Amilie T

Thames, Amilie T is an sole proprietor health care provider with primary practice located at 1110 Broad Ave Ste 700 , Gulfport MS 39501-8908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thames, Amilie T can be contacted via phone (228) 864-0314.

Contact Information

Primary practice address
1110 Broad Ave Ste 700 Gulfport MS 39501-8908
Phone: (228) 864-0314
Fax: (228) 868-8435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21067 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16575 Mississippi

Profile Details

NPI number 1851304026
LBN Legal business name Thames, Amilie T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Nov 10th, 2021 - about 5 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 1851304026 NPPES
Alabama MEDICAID 630000013
Alabama Other 011846
Alabama Other 1063439065

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