MEDICARE: THOMAS E DOBBS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	17250	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7248277	OTHER		AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1954471	OTHER		UNITED HEALTH CARE
4	H'BURG FHC-1148992	OTHER	MS	WINDSOR HEALTH GROUP

General Provider Information

NPI Number	:	1770597882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E DOBBS M.D.

Provider Business Mailing Address
First Line	:	602 ADELINE ST
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39401-3842
Country	:	US
Telephone Number	:	601-544-6766
Fax Number	:	601-583-1300

Provider Business Practice Location Address
First Line	:	1440 JEFFERSON ST
Second Line	:
City	:	LAUREL
State	:	MS
Zip	:	39440-4243
Country	:	US
Telephone Number	:	601-428-0577
Fax Number	:	601-426-9854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	05/03/2018

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Directions to “ THOMAS E DOBBS M.D.” Practice Location

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