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NPI Code Detail

MEDICARE: THOMAS PEARSON

MEDICARE: THOMAS PEARSON
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
1207V00000XObstetrics & Gynecology Physician08787MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841371671
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS PEARSON
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 901-226-4003
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 400 HOSPITAL RD
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-2163
Country : US
Telephone Number : 662-323-4230
Fax Number : 662-615-2554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 01/15/2026

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Directions to “ THOMAS PEARSON ” Practice Location

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