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NPI Code Detail

MEDICARE: ERROL M THOMAS JR. M.D.

MEDICARE: ERROL M THOMAS JR. 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
1207R00000XInternal Medicine Physician36611TN

General Provider Information

NPI Number : 1356352157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERROL M THOMAS JR. M.D.
Provider Business Mailing Address
First Line : 10352N DUNCAN WOODS DR
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-5537
Country : US
Telephone Number : 901-854-0634
Fax Number :
Provider Business Practice Location Address
First Line : 1056E RAINES RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38116-6337
Country : US
Telephone Number : 901-271-4900
Fax Number : 901-271-4911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 12/07/2015

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