Provider Demographics
NPI:1487864922
Name:THOMAS P. MILLS, M.D., PLLC
Entity Type:Organization
Organization Name:THOMAS P. MILLS, M.D., PLLC
Other - Org Name:DIGESTIVE HEALTHCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MANAGER, MEMBER, & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-987-4463
Mailing Address - Street 1:970 LAKELAND DR
Mailing Address - Street 2:SUITE 49
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4634
Mailing Address - Country:US
Mailing Address - Phone:601-987-4463
Mailing Address - Fax:
Practice Address - Street 1:970 LAKELAND DR
Practice Address - Street 2:SUITE 49
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4634
Practice Address - Country:US
Practice Address - Phone:601-987-4463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS11853207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty