Thomley, Martin L
Thomley, Martin L is an individual health care provider with primary practice located at 109 Millsaps Dr Ste B , Hattiesburg MS 39402-1587. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Thomley, Martin L can be contacted via phone (601) 255-0736.Contact Information
Primary practice address
109 Millsaps Dr Ste B
Hattiesburg MS 39402-1587
Phone: (601) 255-0736
Fax: (601) 255-0735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17963 | Alabama |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 28079 | Mississippi |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 28079 | Mississippi |
Profile Details
| NPI number | 1679558357 |
|---|---|
| LBN Legal business name | Thomley, Martin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Nov 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679558357 | NPPES |
| Alabama | MEDICAID | 529403900 | |
| Alabama | Other | F55089 | |
| Alabama | Other | 0800277 | |
| Alabama | Other | 05713 |
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