Provider Demographics
NPI:1770597882
Name:DOBBS, THOMAS E (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:DOBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 ADELINE ST
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-3842
Mailing Address - Country:US
Mailing Address - Phone:601-544-6766
Mailing Address - Fax:601-583-1300
Practice Address - Street 1:1440 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-4243
Practice Address - Country:US
Practice Address - Phone:601-428-0577
Practice Address - Fax:601-426-9854
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS17250207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
7248277OtherAETNA
MS00124354Medicaid
1954471OtherUNITED HEALTH CARE
MSH'BURG FHC-1148992OtherWINDSOR HEALTH GROUP
MS00124354Medicaid
7248277OtherAETNA
G70234Medicare UPIN
1954471OtherUNITED HEALTH CARE